Individual provider Active NPI

Nathan Bernard Kalteski, DDS

  • General Practice Dentistry
  • Harrisburg, PA
National Provider Identifier
1144435488
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS035217 Issued in PA
Practice address
3940 Locust LN
Harrisburg, PA 17109-4023
Phone
(717) 545-5787
Fax
(717) 545-5491
NPI assigned
May 11, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS035217 PA Primary

Addresses

Primary practice location

3940 Locust LN
Harrisburg, PA 17109-4023

Mailing address

116 Ilaina Dr
Moosic, PA 18507-1829
Phone (570) 347-4277

Other identifiers 2

IdentifierTypeStateIssuer
0018979380003MedicaidPA
0018979380005MedicaidPA

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS035217PAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1144435488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 ILAINA DR",
            "city": "MOOSIC",
            "state": "PA",
            "postal_code": "185071829",
            "telephone_number": "570-347-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 LOCUST LN",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094023",
            "telephone_number": "717-545-5787",
            "fax_number": "717-545-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALTESKI",
        "first_name": "NATHAN",
        "middle_name": "BERNARD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018979380003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018979380005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.