DR. KALLAN C GROSETH DC
NPI 1205658598
Chiropractor in Sioux Falls, SD

Active since October 28, 2024
1911 W 57TH ST, SIOUX FALLS, SD 57108(605) 275-5757 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kallan C Groseth Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KALLAN C GROSETH DC (NPI 1205658598) is an individual chiropractor in Sioux Falls, South Dakota, licensed in South Dakota (PENDING) and active in the NPI registry since October 2024. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1205658598
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. KALLAN C GROSETHCredential: DC
Location Address1911 W 57TH STSioux Falls, SD 57108-2710
Mailing Address1911 W 57th StSioux Falls, SD 57108-2710 · (605) 275-5757
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 28, 2024
NPPES CertifiedOctober 28, 2024
✔ NPI 1205658598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in SD · PENDING
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1911 W 57TH ST, Sioux Falls, SD 57108

Other Names 1

Professional Name (2)Kallan C Groseth Dc

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kallan C Groseth Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830667740
PECOS Enrollment IDI20260508003131

Medicare Billing Reassignment

Medicare enrollment records show Kallan Groseth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
4900 E 57TH STREET, SUITE B
Sioux Falls, SD 57108
  • Reassigned Medicare billing, South Dakota enrollment
  • Medicare enrollment name: Active Faith Chiropractic Prof LLC
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1911 W 57TH ST, SUITE 104
SIOUX FALLS, SD 57108
Chiropractor
1911 W 57TH ST, SUITE 104
SIOUX FALLS, SD 57108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kallan Groseth's NPI number?

The NPI number for Kallan Groseth is 1205658598. It was assigned to this individual provider in the NPPES registry on October 28, 2024. The provider is also known as Kallan C Groseth Dc.

Where is Kallan Groseth located?

Kallan Groseth practices at 1911 W 57th St, Sioux Falls, SD 57108. The listed phone number is (605) 275-5757.

What is Kallan Groseth's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kallan Groseth enrolled in Medicare?

Yes. Kallan Groseth is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kallan Groseth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kallan Groseth reassigns Medicare benefits to Active Faith Chiropractic, Prof. L.L.C. (Sioux Falls, SD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kallan Groseth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kallan Groseth accept?

Health plans from Avera Health Plans, Sanford Health Plan and Wellmark of South Dakota, Inc. list Kallan Groseth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kallan Groseth was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.