Whole Self Recovery

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WHOLE SELF RECOVERY

Practice address

509 W Pueblo Dr
Espanola, NM 87532-2508

Phone

(506) 747-3368

Fax

(505) 367-0077

NPI assigned

Oct 12, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Kartar Khalsa, DOM

Title

Owner

Phone

(505) 920-6020

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539302400000",
    "number": "1285109561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4621",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875024621",
            "telephone_number": "505-920-6020",
            "fax_number": "505-367-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W PUEBLO DR",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322508",
            "telephone_number": "506-747-3368",
            "fax_number": "505-367-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE SELF RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-12",
        "last_updated": "2018-10-12",
        "status": "A",
        "authorized_official_last_name": "KHALSA",
        "authorized_official_first_name": "KARTAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-920-6020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Waters, CNP
• Wellness Clinical Services Inc.
• Amanda Wheat, D.O.M
• Jordan Whelan
• Juanita A Whisenhunt, LADAC
• Molly Jean Wick, PA
• Jerry Williams, BMS
• Lynda A Williams, CRNA
• Sara E Williams
• Mary Patricia Willms

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.