Organization Active NPI

Khalsa Chiropractic Clinic P C

  • Chiropractor
  • Salem, OR
National Provider Identifier
1770625097
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
27-2079 Issued in OR
Legal business name
KHALSA CHIROPRACTIC CLINIC P C
Practice address
695 Commercial St SE
Suite 114
Salem, OR 97301-3431
Phone
(503) 362-2623
Fax
(503) 362-2558
NPI assigned
Feb 13, 2007
Last updated
Oct 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Mrs. Guruka Khalsa, DCNPI 1356365837
Title
Owner
Phone
(503) 587-7431

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 27-2079 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

National Provider Directory

National Provider Directory

Locations

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

830 Commercial St SE
Salem, OR 97302
Phone (503) 362-2623

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1770625097",
    "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": {
        "organization_name": "KHALSA CHIROPRACTIC CLINIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "KHALSA",
        "authorized_official_first_name": "GURUKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-587-7431",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27-2079",
            "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 Oct 25, 2011; 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.