Individual provider Active NPI

Daniel Bennett Kalb, M.D.

  • Family Medicine Physician
  • Franklin, TN
National Provider Identifier
1124097852
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40300 Issued in TN
Practice address
4091 Mallory LN
Suite 118
Franklin, TN 37067-4849
Phone
(615) 791-9784
Fax
(615) 791-9785
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 40300 TN Primary

Addresses

Primary practice location

4091 Mallory LN
Suite 118
Franklin, TN 37067-4849

Mailing address

4091 Mallory LN
Suite 118
Franklin, TN 37067-4849
Phone (615) 791-9784

Other identifiers 2

IdentifierTypeStateIssuer
3336879MedicaidTN
4138714OtherTNBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2019 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
40300TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients
C H Wilkinson Physician Network Family Medicine Past Accepting new patients
Cool Springs Family Medicine, PLC Family Medicine PastSince Nov 1, 2006 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/EJDCAA/Endpoint/EJDCAA

Organizations & group practices 3

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1124097852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4091 MALLORY LN",
            "address_2": "SUITE 118",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370674849",
            "telephone_number": "615-791-9784",
            "fax_number": "615-791-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4091 MALLORY LN",
            "address_2": "SUITE 118",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370674849",
            "telephone_number": "615-791-9784",
            "fax_number": "615-791-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALB",
        "first_name": "DANIEL",
        "middle_name": "BENNETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "40300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3336879",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4138714",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.