NPIMap

Organization Active NPI

Santo Domingo Pueblo

  • Community/Behavioral Health Agency
  • Santo Domingo Pueblo, NM
National Provider Identifier
1396944211
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SANTO DOMINGO PUEBLO
Doing business as
Kewa Family Wellness Center
Practice address
18 Eagle CT # 87052
Santo Domingo Pueblo, NM 87052-1230
Phone
(505) 465-2733
NPI assigned
Jul 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Lucas Jerome O'LaughlinNPI 1730445487
Title
Director
Phone
(505) 709-8259

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X
Community/Behavioral Health Agency 251S00000X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

18 Eagle CT # 87052
Santo Domingo Pueblo, NM 87052-1230

Mailing address

PO Box 130
Santo Domingo Pueblo, NM 87052-0130
Phone (505) 465-2733

Other names 1

  • Kewa Family Wellness Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1396944211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "SANTO DOMINGO PUEBLO",
            "state": "NM",
            "postal_code": "870520130",
            "telephone_number": "505-465-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 EAGLE CT # 87052",
            "city": "SANTO DOMINGO PUEBLO",
            "state": "NM",
            "postal_code": "870521230",
            "telephone_number": "505-465-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTO DOMINGO PUEBLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "O'LAUGHLIN",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "505-709-8259"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kewa Family Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santo Domingo Pueblo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.