Active NPI
Seva Simran Siri Singh Khalsa, D.O.M.
- Acupuncturist
- Espanola, NM
National Provider Identifier
1205018777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 907
- Practice address
- 1026 San Ildefonso St
Espanola, NM 87532-3213 - Phone
- (505) 747-7944
- Fax
- (505) 747-7944
- NPI assigned
- Nov 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 907 | NM | Primary |
Addresses
Primary practice location
1026 San Ildefonso St
Espanola, NM 87532-3213
Mailing address
1026 San Ildefonso St
Espanola, NM 87532-3213
Phone (505) 747-7944
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 907 | NM | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206748800000",
"number": "1205018777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1026 SAN ILDEFONSO ST",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875323213",
"telephone_number": "505-747-7944",
"fax_number": "505-747-7944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1026 SAN ILDEFONSO ST",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875323213",
"telephone_number": "505-747-7944",
"fax_number": "505-747-7944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHALSA",
"first_name": "SEVA SIMRAN",
"middle_name": "SIRI SINGH",
"name_prefix": "Dr.",
"credential": "D.O.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-27",
"last_updated": "2008-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NM",
"license": "907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Espanola, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.