Individual provider Active NPI

Cheryl Ellen Kalb, D.C.

  • Chiropractor
  • Baltimore, MD
National Provider Identifier
1104915719
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S1595PT Issued in MD
Practice address
3333 N Calvert St
555
Baltimore, MD 21218-2867
Phone
(410) 261-8531
Fax
(410) 261-8464
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S1595PT MD Primary

Addresses

Primary practice location

3333 N Calvert St
555
Baltimore, MD 21218-2867

Mailing address

12 Rain Drop Cir
Reisterstown, MD 21136-3541
Phone (410) 833-8560

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
S1595PTMDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Zen Chiropractic & Wellness Space Chiropractor CurrentSince Nov 1, 2022 Accepting new patients
Fidel Integrated Medical Solutions PC Chiropractor PastSince Jul 27, 2015 Accepting new patients

Locations

6414 Park Heights Ave
Ste G1
Baltimore, MD 21215
Phone (404) 263-1004

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251072000000",
    "number": "1104915719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 RAIN DROP CIR",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211363541",
            "telephone_number": "410-833-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 N CALVERT ST",
            "address_2": "555",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182867",
            "telephone_number": "410-261-8531",
            "fax_number": "410-261-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALB",
        "first_name": "CHERYL",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2009-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S1595PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.