Active NPI
Bodywise Health Center Inc
- Chiropractor
- Espanola, NM
National Provider Identifier
1992717714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1311
- Legal business name
- BODYWISE HEALTH CENTER INC
- Practice address
- 234 N Paseo de Onate
Espanola, NM 87532-2623 - Phone
- (505) 753-9296
- Fax
- (505) 747-7968
- NPI assigned
- Aug 12, 2006
- Last updated
- Nov 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Salim Bohsali, D.C.
- Title
- Owner
- Phone
- (505) 753-9296
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1311 | NM | Primary |
Addresses
Primary practice location
234 N Paseo de Onate
Espanola, NM 87532-2623
Mailing address
234 N Paseo de Onate
Espanola, NM 87532-2623
Phone (505) 753-9296
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KH 73 | Other | NM | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
234 N Paseo de Onate
Espanola, NM 87532
Phone (505) 753-9296
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Chiropractor
- Espanola, NM
- NPI 1730191552
-
- Chiropractor
- Espanola, NM
- NPI 1306144894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196208000000",
"number": "1992717714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 N PASEO DE ONATE",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875322623",
"telephone_number": "505-753-9296",
"fax_number": "505-747-7968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 N PASEO DE ONATE",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875322623",
"telephone_number": "505-753-9296",
"fax_number": "505-747-7968"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BODYWISE HEALTH CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-12",
"last_updated": "2007-11-28",
"status": "A",
"authorized_official_last_name": "BOHSALI",
"authorized_official_first_name": "SALIM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-753-9296",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NM",
"license": "1311",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "KH 73",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
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 Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.