Shanti Balkissoon-Castillo DPM LLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

SHANTI BALKISSOON-CASTILLO DPM LLC

Practice address

7700 Menaul Blvd NE
Ste D
Albuquerque, NM 87110-4639

Phone

(505) 299-4487

Fax

(505) 299-4498

NPI assigned

May 21, 2019

Organization subpart

No

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

Authorized official

Name

Shanti Balkissoon-Castillo, DPM

Title

Owner

Phone

(505) 299-4487

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1104483544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 MENAUL BLVD NE",
            "address_2": "STE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104639",
            "telephone_number": "505-299-4487",
            "fax_number": "505-299-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 MENAUL BLVD NE",
            "address_2": "STE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104639",
            "telephone_number": "505-299-4487",
            "fax_number": "505-299-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANTI BALKISSOON-CASTILLO DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "BALKISSOON-CASTILLO",
        "authorized_official_first_name": "SHANTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-299-4487",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ginger Shannon, CPSW CSSS
• Robert M Shannon, MD
• Salina Shannon, PHARM D.
• Samantha Liz Shannon, PA-C
• Tamara Jean Shannon, CPNP
• Shanti Healing Arts LLC
• Christopher Shantz
• Boyuan Shao
• Dawei Shao, DOM
• Christina Shapiro

• Podiatric Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Podiatric Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.