NPIMap

Organization Active NPI

GRD Acupuncture, LLC.

  • Acupuncturist
  • Espanola, NM
National Provider Identifier
1699952069
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
GRD ACUPUNCTURE, LLC.
Practice address
415 N Paseo de Onate
Espanola, NM 87532-2619
Phone
(505) 753-3369
Fax
(505) 753-4006
NPI assigned
Jan 28, 2008
Last updated
Jan 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Dr. Kartar Singh Khalsa, D.O.M.NPI 1629023304
Title
Doctor
Phone
(505) 753-3369

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU Primary

Addresses

Primary practice location

415 N Paseo de Onate
Espanola, NM 87532-2619

Mailing address

415 N Paseo de Onate
Espanola, NM 87532-2619
Phone (505) 753-3369

Other names 1

  • KDK Cleansing Productions Other name

National Provider Directory

National Provider Directory
Tax ID family
GRD Acupuncture LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

415 N Paseo de Onate
Espanola, NM 87532
Phone (505) 753-3369

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1699952069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N PASEO DE ONATE",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322619",
            "telephone_number": "505-753-3369",
            "fax_number": "505-753-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N PASEO DE ONATE",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322619",
            "telephone_number": "505-753-3369",
            "fax_number": "505-753-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRD ACUPUNCTURE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "KHALSA",
        "authorized_official_first_name": "KARTAR",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "505-753-3369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O.M."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KDK Cleansing Productions",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Espanola, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.