Organization Active NPI

Vincent Kalkowski DC PC

  • Chiropractor
  • Cody, WY
National Provider Identifier
1285756346
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
564 Issued in WY
Legal business name
VINCENT KALKOWSKI DC PC
Practice address
1408 17TH St
Cody, WY 82414-4303
Phone
(307) 587-1500
Fax
(307) 587-5073
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Authorized official

Name
Dr. Vincent J Kalkowski, D.C.NPI 1740351071
Title
President
Phone
(307) 587-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 564 WY Primary

Addresses

Primary practice location

1408 17TH St
Cody, WY 82414-4303

Mailing address

1408 17TH St
Cody, WY 82414-4303
Phone (307) 587-1500

Other identifiers 1

IdentifierTypeStateIssuer
00437001OtherWYBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100128000670 WY Part B Supplier - Clinic/Group Practice 1355483397 Receives reassigned benefits from 1 practitioner
Practice locations: Cody, WY

National Provider Directory

National Provider Directory

Locations

1408 17th St
Cody, WY 82414
Phone (307) 587-1500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1285756346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 17TH ST",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824144303",
            "telephone_number": "307-587-1500",
            "fax_number": "307-587-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 17TH ST",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824144303",
            "telephone_number": "307-587-1500",
            "fax_number": "307-587-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT KALKOWSKI DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "KALKOWSKI",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-587-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00437001",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cody, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.