Individual provider Active NPI

Helen Sophia Kallis, DC

  • Chiropractor
  • Santurce, PR
National Provider Identifier
1780848705
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
440 Issued in PR
Practice address
1600 Ave Ponce de Leon
Santurce, PR 00909-1844
Phone
(787) 724-9797
Fax
(787) 724-9700
NPI assigned
Jul 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 440 PR Primary

Addresses

Primary practice location

1600 Ave Ponce de Leon
Santurce, PR 00909-1844

Mailing address

1600 Ave Ponce de Leon
Santurce, PR 00909-1844
Phone (787) 724-9797

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081021000233 PR Practitioner - Chiropractic 9830257864 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Invest Health Chiropractic PSC CurrentSince May 21, 2013 Accepting new patients
Invest Health Chiropractic PSC Chiropractor CurrentSince May 21, 2013 Accepting new patients
Humidity Current Accepting new patients
Nueva Vida de la Salud Corp CurrentSince Aug 11, 2009 Accepting new patients

Locations

1600 Ave Ponce de Leon
Santurce, PR 00909
Phone (787) 523-4777

Organizations & group practices 4

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": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1780848705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 AVE PONCE DE LEON",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009091844",
            "telephone_number": "787-724-9797",
            "fax_number": "787-724-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 AVE PONCE DE LEON",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009091844",
            "telephone_number": "787-724-9797",
            "fax_number": "787-724-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLIS",
        "first_name": "HELEN",
        "middle_name": "SOPHIA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.