Individual provider Active NPI

Kara Louise Kalkreuth, D.C.

  • Chiropractor
  • North Myrtle Beach, SC
National Provider Identifier
1750686390
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC3614DC Issued in SC
Practice address
702 6TH Ave S
North Myrtle Beach, SC 29582-3568
Phone
(843) 249-5403
NPI assigned
Jan 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC3614DC SC Primary
Rehabilitation Chiropractor 111NR0400X DC3614DC SC

Addresses

Primary practice location

702 6TH Ave S
North Myrtle Beach, SC 29582-3568

Mailing address

702 6TH Ave S
North Myrtle Beach, SC 29582-3568
Phone (843) 249-5403

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210727002794 SC Practitioner - Chiropractic 5193997005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

92 N Main St
Suite D
Hilton Head, SC 29926-1754
Phone (843) 342-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC3614DCSCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kalkreuth Chiropractic LLC Chiropractor CurrentSince May 1, 2021 Accepting new patients
Spencer Spine Specialists LLC Chiropractor Past Accepting new patients
JS-Bell Enterprises, LLC Chiropractor PastSince Jan 2, 2020 Accepting new patients

Locations

92 Main St
Ste D
Hilton Head Island, SC 29926
Phone (843) 342-3333

Organizations & group practices 3

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": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1750686390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 6TH AVE S",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823568",
            "telephone_number": "843-249-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 6TH AVE S",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823568",
            "telephone_number": "843-249-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALKREUTH",
        "first_name": "KARA",
        "middle_name": "LOUISE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "DC3614DC",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "SC",
            "license": "DC3614DC",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.