Individual provider Active NPI

Blake Kalkstein, D.C.

  • Rehabilitation Chiropractor
  • Towson, MD
National Provider Identifier
1639419963
Registry record updated Nov 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
S03735 Issued in MD
Practice address
200 E Joppa Rd
Suite 300
Towson, MD 21286-3150
Phone
(410) 296-7700
Fax
(410) 296-7784
NPI assigned
Feb 23, 2013
Last updated
Nov 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X S03735 MD Primary

Addresses

Primary practice location

200 E Joppa Rd
Suite 300
Towson, MD 21286-3150

Mailing address

200 E Joppa Rd
Suite 300
Towson, MD 21286-3150
Phone (410) 296-7700

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1361577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417305600000",
    "number": "1639419963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E JOPPA RD",
            "address_2": "SUITE 300",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212863150",
            "telephone_number": "410-296-7700",
            "fax_number": "410-296-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E JOPPA RD",
            "address_2": "SUITE 300",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212863150",
            "telephone_number": "410-296-7700",
            "fax_number": "410-296-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALKSTEIN",
        "first_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-23",
        "last_updated": "2014-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MD",
            "license": "S03735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2014; 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.