Individual provider Active NPI

Joseph Hobson Kalk, DC

  • Chiropractor
  • Enfield, CT
National Provider Identifier
1487720009
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
000863CT01 Issued in CT
Practice address
258 Hazard Ave
Enfield, CT 06082-4613
Phone
(860) 745-8000
Fax
(860) 745-8212
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 000863CT01 CT Primary

Addresses

Primary practice location

258 Hazard Ave
Enfield, CT 06082-4613

Mailing address

258 Hazard Ave
Enfield, CT 06082-4613
Phone (860) 745-8000

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
000863CT01CTMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1487720009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 HAZARD AVE",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824613",
            "telephone_number": "860-745-8000",
            "fax_number": "860-745-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 HAZARD AVE",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824613",
            "telephone_number": "860-745-8000",
            "fax_number": "860-745-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALK",
        "first_name": "JOSEPH",
        "middle_name": "HOBSON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000863CT01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.