Kallan C Groseth, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

PENDING Issued in SD

Practice address

1911 W 57TH St
Sioux Falls, SD 57108-2710

Phone

(605) 275-5757

NPI assigned

Oct 28, 2024

Last updated

Oct 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kallan C Groseth Professional name

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Group practices

Active Faith Chiropractic Prof LLCGroup PAC ID 1557610755, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Active Faith Chiropractic, Prof. L.L.C.

  • Chiropractor
  • Sioux Falls, SD
  • NPI 1568963353
  Medicare reassignment Care Compare group
• Pfaff Chiropractic Professional LLC

  • Chiropractor
  • Sioux Falls, SD
  • NPI 1730490160
  NPD (past)

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1205658598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 W 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082710",
            "telephone_number": "605-275-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 W 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082710",
            "telephone_number": "605-275-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSETH",
        "first_name": "KALLAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALLAN",
            "last_name": "GROSETH",
            "middle_name": "C",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Laurie C. Gromer, CNP
• Gina Gronewold, CNP
• Allison E Grong, SW
• Amber Nicole Groninger, MD
• Theresa Groos, MSPT
• Dayna Joy Groskreutz, MD
• Audrey Anne Gross
• Cooper Buford Gross
• Spencer Lee Gross, DDS
• Nicole Grossenburg, MD

• Chiropractor in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.