Organization Active NPI

Bodywise Health Center Inc

  • Chiropractor
  • Espanola, NM
National Provider Identifier
1992717714
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1311 Issued in NM
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Dr. Salim Bohsali, D.C.NPI 1730191552
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
KH 73OtherNMBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080108000306 NM Part B Supplier - Clinic/Group Practice 2466554308 Receives reassigned benefits from 1 practitioner
Practice locations: Espanola, NM

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.