Individual provider Active NPI

Kelly Liza Kalmar, D.M.D.

  • Dentist
  • Huntington, NY
National Provider Identifier
1326154782
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
047866 Issued in NY
Practice address
62 Green St
Huntington, NY 11743-6912
Phone
(631) 673-0670
Fax
(631) 673-0791
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 047866 NY Primary

Addresses

Primary practice location

62 Green St
Huntington, NY 11743-6912

Mailing address

62 Green St
Huntington, NY 11743-6912
Phone (631) 673-0670

Other identifiers 1

IdentifierTypeStateIssuer
0062159MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150612000324 NY Order and Referring Only - DentistPractitioner - Dentist 2062723364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
047866NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326154782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 GREEN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436912",
            "telephone_number": "631-673-0670",
            "fax_number": "631-673-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 GREEN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436912",
            "telephone_number": "631-673-0670",
            "fax_number": "631-673-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALMAR",
        "first_name": "KELLY",
        "middle_name": "LIZA",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "047866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0062159",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.