Organization Active NPI

Salubrio, LLC

  • Primary Care Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1689074460
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
867RX2 Issued in NM
Legal business name
SALUBRIO, LLC
Practice address
3538 Anderson Ave SE
Albuquerque, NM 87106-1612
Phone
(505) 573-4325
NPI assigned
Aug 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Authorized official

Name
Dr. Karla Koch, ND, DOM, RNNPI 1588780548
Title
Owner
Phone
(505) 573-4325

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 867RX2 NM Primary

Addresses

Primary practice location

3538 Anderson Ave SE
Albuquerque, NM 87106-1612

Mailing address

3538 Anderson Ave SE
Albuquerque, NM 87106-1612
Phone (505) 573-4325

Other identifiers 1

IdentifierTypeStateIssuer
1588780548OtherNMINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1689074460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3538 ANDERSON AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061612",
            "telephone_number": "505-573-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3538 ANDERSON AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061612",
            "telephone_number": "505-573-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALUBRIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-573-4325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, DOM, RN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NM",
            "license": "867RX2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1588780548",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.