Organization Active NPI

GRD Health Clinic Inc

  • Chiropractor
  • Santa Fe, NM
National Provider Identifier
1780990846
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
801 Issued in NM
Legal business name
GRD HEALTH CLINIC INC
Practice address
1505 Llano St
Santa Fe, NM 87505-2003
Phone
(505) 984-3034
Fax
(505) 984-3034
NPI assigned
Aug 27, 2010
Last updated
Aug 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Authorized official

Name
Guruchander Khalsa
Title
Owner
Phone
(505) 984-3034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 801 NM Primary

Addresses

Primary practice location

1505 Llano St
Santa Fe, NM 87505-2003

Mailing address

1505 Llano St
Santa Fe, NM 87505-2003

National Provider Directory

National Provider Directory

Locations

1505 Llano St
Santa Fe, NM 87505
Phone (505) 690-0605

1505 Llano St
Ste 1
Santa Fe, NM 87505
Phone (505) 984-3034

Practitioners & affiliated clinicians

Practitioners 4

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": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1780990846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 LLANO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 LLANO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052003",
            "telephone_number": "505-984-3034",
            "fax_number": "505-984-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRD HEALTH CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "KHALSA",
        "authorized_official_first_name": "GURUCHANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-984-3034"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.