Individual provider Active NPI

Japa K Khalsa, DOM

  • Acupuncturist
  • Espanola, NM
National Provider Identifier
1245255025
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
854 Issued in NM
Practice address
228 Camino Miramontes
Espanola, NM 87532-8060
Phone
(505) 929-2935
Fax
(505) 753-4006
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 854 NM Primary

Addresses

Primary practice location

228 Camino Miramontes
Espanola, NM 87532-8060

Mailing address

228 Camino Miramontes
Espanola, NM 87532-8060
Phone (505) 929-2935

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

LicenseStateTypeSpecialty
854NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Sarah Japa LLC Acupuncturist Current Accepting new patients
Adi Shakti Acupuncture Inc. Acupuncturist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1245255025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 CAMINO MIRAMONTES",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875328060",
            "telephone_number": "505-929-2935",
            "fax_number": "505-753-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 CAMINO MIRAMONTES",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875328060",
            "telephone_number": "505-929-2935",
            "fax_number": "505-753-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALSA",
        "first_name": "JAPA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "854",
            "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 Nov 29, 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.