Individual provider Active NPI

Guruka K Khalsa, DC

  • Chiropractor
  • Salem, OR
National Provider Identifier
1356365837
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
27-2097 Issued in OR
Practice address
695 Commercial St SE
Suite 114
Salem, OR 97301-3431
Phone
(503) 362-2623
Fax
(503) 362-2558
NPI assigned
Jul 27, 2006
Last updated
Jul 21, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 27-2097 OR Primary

Addresses

Primary practice location

695 Commercial St SE
Suite 114
Salem, OR 97301-3431

Mailing address

695 Commercial St SE
Suite 114
Salem, OR 97301-3431
Phone (503) 362-2623

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
27-2097ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Khalsa Chiropractic Clinic, PC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1356365837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 COMMERCIAL ST SE",
            "address_2": "SUITE 114",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013431",
            "telephone_number": "503-362-2623",
            "fax_number": "503-362-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 COMMERCIAL ST SE",
            "address_2": "SUITE 114",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013431",
            "telephone_number": "503-362-2623",
            "fax_number": "503-362-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALSA",
        "first_name": "GURUKA",
        "middle_name": "K",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27-2097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.