Jake Samuel Kalkstein, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.027646 Issued in OH

Practice address

2725 Lincoln St E
Canton, OH 44707-2769

Phone

(330) 454-2000

Fax

(330) 488-0323

NPI assigned

Jun 6, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

Howard University College of Dentistry, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lifecare Family Health and Dental Center, Inc

  dba Canton Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Canton, OH
  • NPI 1013964923
  Medicare reassignment NPD (past)
• Lifecare Family Health and Dental Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Massillon, OH
  • NPI 1134959000
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1033848122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 LINCOLN ST E",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447072769",
            "telephone_number": "330-454-2000",
            "fax_number": "855-634-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 LINCOLN ST E",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447072769",
            "telephone_number": "330-454-2000",
            "fax_number": "330-488-0323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213 Marlboro Ave",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "MD",
            "postal_code": "216012730",
            "country_code": "US",
            "telephone_number": "410-200-9268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Syndicate St N Ste 300",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551044127",
            "country_code": "US",
            "telephone_number": "651-254-7373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 Amherst Rd NE",
            "address_purpose": "LOCATION",
            "city": "Massillon",
            "state": "OH",
            "postal_code": "446468518",
            "country_code": "US",
            "telephone_number": "330-454-2000",
            "fax_number": "330-454-6184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALKSTEIN",
        "first_name": "JAKE",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-06",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "17943",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.027646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Kalagidis, MSN
• Laura Kale
• Kaleidoscope Counseling Services
• Kelsey Kalgreen
• William E Kalkreuth, M.ED.
• Kathy Marie Kallman, MD
• Shamila Kamalanathan, M.D.
• Heather Kame, PTA
• Sameh S Kamel, M.D.
• Michael A. Kamienski, LPT

• General Practice Dentistry in Canton, OH
• Providers in Canton, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.