Southwest Center for Osteopathic Medicine, LLC

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

Legal business name

SOUTHWEST CENTER FOR OSTEOPATHIC MEDICINE, LLC

Practice address

1482 S Saint Francis Dr Ste C
Santa Fe, NM 87505-4098

Phone

(505) 946-7951

NPI assigned

Oct 5, 2019

Last updated

Oct 5, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dharampal Singh Khalsa, DONPI 1871508556

Title

Owner/Physician

Phone

(505) 927-3408

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dharampal Khalsa, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Santa Fe, NM
  • NPI 1871508556
  Authorized official Same address or phone

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

{
    "created_epoch": "1570233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570233600000",
    "number": "1396386892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218 CYMBELINE CT",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1482 S SAINT FRANCIS DR STE C",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054098",
            "telephone_number": "505-946-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST CENTER FOR OSTEOPATHIC MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-05",
        "last_updated": "2019-10-05",
        "status": "A",
        "authorized_official_last_name": "KHALSA",
        "authorized_official_first_name": "DHARAMPAL",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "505-927-3408",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neuromusculoskeletal Medicine & OMM Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Neuromusculoskeletal Medicine & OMM Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2019; 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.