Individual provider Active NPI

Donald Gene Cornwell, DOM LMT PHD

  • Acupuncturist
  • Albuquerque, NM
National Provider Identifier
1972786812
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
210 Issued in NM
Practice address
202 Morningside SE
Albuquerque, NM 87108-2633
Phone
(505) 268-6870
Fax
(505) 268-0818
NPI assigned
Dec 14, 2007
Last updated
Dec 14, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 210 NM Primary
Massage Therapist 225700000X 0668 NM

Addresses

Primary practice location

202 Morningside SE
Albuquerque, NM 87108-2633

Mailing address

202 Morningside SE
Albuquerque, NM 87108-2633
Phone (505) 268-6870

Other names 1

  • Mr. Don Cornwell Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
210NMMDRegistered Dietitian
0668NMMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1972786812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 MORNINGSIDE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082633",
            "telephone_number": "505-268-6870",
            "fax_number": "505-268-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 MORNINGSIDE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082633",
            "telephone_number": "505-268-6870",
            "fax_number": "505-268-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNWELL",
        "first_name": "DONALD",
        "middle_name": "GENE",
        "name_prefix": "Mr.",
        "credential": "DOM LMT PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "210",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NM",
            "license": "0668",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DON",
            "last_name": "CORNWELL",
            "prefix": "MR.",
            "credential": "DOM LMT PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.