Active NPI
JTK Corp
- Family Medicine Physician
- Artesia, NM
National Provider Identifier
1023030616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 99297
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z5574 | Medicaid | NM |
Other names 1
- Artesia Medical Center
National Provider Directory
National Provider DirectoryLocations
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.