Individual provider Active NPI

Thomas F Kalkhoff, D.O.

  • Family Medicine Physician
  • Spirit Lake, IA
National Provider Identifier
1730159229
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02149 Issued in IA
Practice address
2700 23Rd St
Ste C
Spirit Lake, IA 51360-1158
Phone
(712) 336-3750
Fax
(712) 336-3730
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02149 IA Primary

Addresses

Primary practice location

2700 23Rd St
Ste C
Spirit Lake, IA 51360-1158

Mailing address

2700 23Rd St
Ste C
Spirit Lake, IA 51360-1158
Phone (712) 336-3750

Other identifiers 1

IdentifierTypeStateIssuer
2037689MedicaidIA

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
Credentials
Doctor of Osteopathy, Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: tom.kalkhoff@avera.sdhealthlink.net

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1730159229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 23RD ST",
            "address_2": "STE C",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601158",
            "telephone_number": "712-336-3750",
            "fax_number": "712-336-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 23RD ST",
            "address_2": "STE C",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601158",
            "telephone_number": "712-336-3750",
            "fax_number": "712-336-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALKHOFF",
        "first_name": "THOMAS",
        "middle_name": "F",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "02149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2037689",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spirit Lake, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.