Active NPI
Peter D Kalkanis, D.C.
- Chiropractor
- Astoria, NY
National Provider Identifier
1487859831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X3224
- Practice address
- 3825 Astoria Blvd
Astoria, NY 11103-3608 - Phone
- (718) 204-0810
- NPI assigned
- Jun 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X3224 | NY | Primary |
Addresses
Primary practice location
3825 Astoria Blvd
Astoria, NY 11103-3608
Mailing address
4226 209TH St
Bayside, NY 11361-2747
Phone (718) 204-0810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X3224 | Other | NY | NYSREGISTRATION |
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
| License | State | Type | Specialty |
|---|---|---|---|
| X3224 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487859831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4226 209TH ST",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612747",
"telephone_number": "718-204-0810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3825 ASTORIA BLVD",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111033608",
"telephone_number": "718-204-0810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALKANIS",
"first_name": "PETER",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X3224",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYSREGISTRATION",
"identifier": "X3224",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.