Individual provider Active NPI

Chad R Kaltved, DC

  • Chiropractor
  • Harlan, IA
National Provider Identifier
1114915550
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06318 Issued in IA
Practice address
1111 Morningview Dr
Harlan, IA 51537-2000
Phone
(712) 755-5878
Fax
(712) 755-5463
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06318 IA Primary

Addresses

Primary practice location

1111 Morningview Dr
Harlan, IA 51537-2000

Mailing address

1111 Morningview Dr
PO Box 469
Harlan, IA 51537-2000
Phone (712) 755-5878

Other identifiers 1

IdentifierTypeStateIssuer
1242107MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040420000240 IA Practitioner - Chiropractic 7214922079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1111 Morning Dr
Harlan, IA 51537-2000
Phone (712) 755-5878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kaltved Inc Chiropractor CurrentSince Jun 1, 2005 Accepting new patients
Cedar Valley Medical Specialists PC Past Accepting new patients
Whitmer Spine & Sports Chiropractic Chiropractor PastSince Nov 30, 2012 Accepting new patients
Pitts Family & Sports Chiropractic CTRS PC Chiropractor PastSince Feb 1, 2003 Accepting new patients

Locations

1111 Morningview Dr
Harlan, IA 51537
Phone (712) 733-8060

Organizations & group practices 4

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1114915550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MORNINGVIEW DR",
            "address_2": "PO BOX 469",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515372000",
            "telephone_number": "712-755-5878",
            "fax_number": "712-755-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MORNINGVIEW DR",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515372000",
            "telephone_number": "712-755-5878",
            "fax_number": "712-755-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALTVED",
        "first_name": "CHAD",
        "middle_name": "R",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1242107",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlan, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.