Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306948948 Individual Practitioner Female Practitioner

Dr. Robin Patricia Wallace , DOM, LIC AC

Acupuncturist • Glorieta, NM

Professional Overview & Biography Verified Profile Summary

Dr. Robin Wallace, DOM, LIC AC is a registered healthcare professional specializing in Acupuncturist in Glorieta, NM. Practice services are available at 146 GLORY LANE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

146 Glory Lane

Glorieta, NM 87535

Telephone 5052316684
Fax 5058844015

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Glorieta, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 41.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Glorieta, NM (502 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License PA KO000048L

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Acupuncturist

NUCC Taxonomy Code: 171100000X

State License PA AK000355L

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Highmark Bs-Prem
1824619 (PA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Felipe Mares , PT

Physical Therapist

NPI 1578650933

Physical Therapist

Dr. Brandi Greene , DPT

Physical Therapist

NPI 1821399395

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 02, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location March 02, 2009

Registered at 146 GLORY LANE, GLORIETA, NM 87535 (Tel: 5052316684)

📍
Updated Business Mailing Address March 02, 2009

Registered at PO BOX 422, GLORIETA, NM 87535 (Tel: 5052316684)

👤
Provider Name / Credentials Updated March 02, 2009

Recorded as ROBIN WALLACE, D.O.M., LIC. AC.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2009

Acupuncturist (License #KO000048L in PA)

🟢
Initial NPI Registration & Enumeration September 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306948948
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 03, 2006
Last Update: March 02, 2009
Sole Proprietor: No

Mailing Address

Po Box 422

Glorieta, NM 87535

Phone: 5052316684

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.