Active NPI
Gurumittar K Khalsa, DOM
- Acupuncturist
- Santa Fe, NM
National Provider Identifier
1992194252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1160
- Practice address
- 1505 Llano St
Santa Fe, NM 87505-2003 - Phone
- (505) 690-0605
- NPI assigned
- Jan 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 1160 | NM | Primary |
Addresses
Primary practice location
1505 Llano St
Santa Fe, NM 87505-2003
Mailing address
1505 Llano St
Santa Fe, NM 87505-2003
Phone (505) 982-6369
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1160 | NM | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GRD Health Clinic Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Santa Fe, NM
- NPI 1780990846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420761600000",
"number": "1992194252",
"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",
"telephone_number": "505-982-6369"
},
{
"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": "505-690-0605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHALSA",
"first_name": "GURUMITTAR",
"middle_name": "K",
"credential": "DOM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-09",
"last_updated": "2015-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NM",
"license": "1160",
"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 Jan 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.