Individual provider Active NPI

Ellenita Bridget Salko, D.C.

  • Chiropractor
  • Santa Fe, NM
National Provider Identifier
1265627046
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1599 Issued in NM
Practice address
1650 Hospital Dr Ste 300
Santa Fe, NM 87505-4770
Phone
(505) 629-3116
NPI assigned
Sep 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1599 NM Primary

Addresses

Primary practice location

1650 Hospital Dr Ste 300
Santa Fe, NM 87505-4770

Mailing address

1650 Hospital Dr Ste 300
Santa Fe, NM 87505-4770
Phone (505) 629-3116

Other identifiers 2

IdentifierTypeStateIssuer
346800304OtherNMPTAN
1599OtherNMSTATE LICENSE

Other names 1

  • Dr. Ellenita Bridget Chavez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080117000216 NM Practitioner - Chiropractic 0648232462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1650 Hospital Dr
Suite 300
Santa Fe, NM 87505-4770
Phone (505) 629-3116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1599NMMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Whites Crossing Medical Group Inc 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": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1265627046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 HOSPITAL DR STE 300",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054770",
            "telephone_number": "505-629-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HOSPITAL DR STE 300",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054770",
            "telephone_number": "505-629-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALKO",
        "first_name": "ELLENITA",
        "middle_name": "BRIDGET",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "346800304",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1599",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLENITA",
            "last_name": "CHAVEZ",
            "middle_name": "BRIDGET",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.