Organization Active NPI

JTK Corp

  • Family Medicine Physician
  • Artesia, NM
National Provider Identifier
1023030616
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
99297 Issued in NM
Legal business name
JTK CORP
Practice address
315 W Washington
Suite D
Artesia, NM 88211-0855
Phone
(505) 746-4540
Fax
(505) 746-4295
NPI assigned
Jul 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Dr. Joe P Salgado, MD
Title
Director
Phone
(505) 746-4540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 99297 NM Primary

Addresses

Primary practice location

315 W Washington
Suite D
Artesia, NM 88211-0855

Mailing address

PO Box 855
Artesia, NM 88211-0855
Phone (505) 746-4540

Other identifiers 1

IdentifierTypeStateIssuer
Z5574MedicaidNM

Other names 1

  • Artesia Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

612 N 13th St
Ste H
Artesia, NM 88210
Phone (505) 748-1266

315 W Washington Ave
Ste D
Artesia, NM 88210
Phone (505) 746-4540

612 N 13th St
Ste E
Artesia, NM 88210
Phone (505) 703-7003

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1023030616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 855",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882110855",
            "telephone_number": "505-746-4540",
            "fax_number": "505-746-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W WASHINGTON",
            "address_2": "SUITE D",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882110855",
            "telephone_number": "505-746-4540",
            "fax_number": "505-746-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JTK CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "SALGADO",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "505-746-4540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "99297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z5574",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Artesia Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Artesia, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.