Individual provider Active NPI

Richard Keith Calda, D.C.

  • Chiropractor
  • Lufkin, TX
National Provider Identifier
1750325239
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC6358 Issued in TX
Practice address
3906 S Medford Dr
Lufkin, TX 75901-5754
Phone
(936) 639-1014
Fax
(936) 639-1099
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC6358 TX Primary

Addresses

Primary practice location

3906 S Medford Dr
Lufkin, TX 75901-5754

Mailing address

3906 S Medford Dr
Lufkin, TX 75901-5754
Phone (936) 639-1014

Other identifiers 2

IdentifierTypeStateIssuer
606145OtherTXACN/UHC NUMBER
608389OtherTXBLUECROSS BLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081231000107 TX Practitioner - Chiropractic 3274695127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3906 S Medford Dr
Lufkin, TX 75901-5754
Phone (936) 639-1014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
951LAMDMental Health Counselor
DC6358TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Calda Chiropractic PA Chiropractor CurrentSince Mar 5, 2016 Accepting new patients
East Texas Chiropractic of Jasper, PA Chiropractor PastSince Dec 13, 2009 Accepting new patients

Locations

3906 S Medford Dr
Lufkin, TX 75901
Phone (936) 639-1014

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1750325239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 S MEDFORD DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759015754",
            "telephone_number": "936-639-1014",
            "fax_number": "936-639-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 S MEDFORD DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759015754",
            "telephone_number": "936-639-1014",
            "fax_number": "936-639-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDA",
        "first_name": "RICHARD",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC6358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN/UHC NUMBER",
            "identifier": "606145",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "608389",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.