Active NPI
Gurudarshan Kaur Khalsa, L. AC., DOM
- Acupuncturist
- Flagstaff, AZ
National Provider Identifier
1285835819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 023
- Practice address
- 2976 Pebble Beach Dr
Flagstaff, AZ 86004-7420 - Phone
- (928) 526-3427
- NPI assigned
- May 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 023 | AZ | Primary |
| Acupuncturist | 171100000X | 535 | NM |
Addresses
Primary practice location
2976 Pebble Beach Dr
Flagstaff, AZ 86004-7420
Mailing address
2976 Pebble Beach Dr
Flagstaff, AZ 86004-7420
Phone (928) 526-5831
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 |
|---|---|---|---|
| 535 | NM | MD | Chiropractor |
| 023 | AZ | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285835819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2976 PEBBLE BEACH DR",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860047420",
"telephone_number": "928-526-5831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2976 PEBBLE BEACH DR",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860047420",
"telephone_number": "928-526-3427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHALSA",
"first_name": "GURUDARSHAN",
"middle_name": "KAUR",
"name_prefix": "Dr.",
"credential": "L. AC., DOM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "AZ",
"license": "023",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NM",
"license": "535",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.