Individual provider Active NPI

Kenneth Charles Kalman, DC

  • Chiropractor
  • Islip, NY
National Provider Identifier
1043379464
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X002218 Issued in NY
Practice address
2381 Sunrise Hwy
Islip, NY 11751-2030
Phone
(631) 224-3042
Fax
(631) 224-3044
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X002218 NY Primary

Addresses

Primary practice location

2381 Sunrise Hwy
Islip, NY 11751-2030

Mailing address

2381 Sunrise Hwy
Islip, NY 11751-2030
Phone (631) 224-3042

Other identifiers 1

IdentifierTypeStateIssuer
X15871OtherNYPROVIDER TRANSACTION ACCESS NUMBER

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
X002218NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1043379464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2381 SUNRISE HWY",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117512030",
            "telephone_number": "631-224-3042",
            "fax_number": "631-224-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2381 SUNRISE HWY",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117512030",
            "telephone_number": "631-224-3042",
            "fax_number": "631-224-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALMAN",
        "first_name": "KENNETH",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X002218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER TRANSACTION ACCESS NUMBER",
            "identifier": "X15871",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.