Ernest Khachaturyan

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

LC0639066 Issued in MO

Practice address

623 NE 93Rd CT
Kansas City, MO 64155-3323

Phone

(816) 456-8568

Fax

(816) 420-0798

NPI assigned

Feb 2, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ez Ride LLC

  • Non-emergency Medical Transport (VAN)
  • Kansas City, MO
  • NPI 1578039400
  NPD (past) Authorized official

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

{
    "created_epoch": "1391299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391299200000",
    "number": "1063835650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 NE 93RD CT",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641553323",
            "telephone_number": "816-456-8568",
            "fax_number": "816-420-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 NE 93RD CT",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641553323",
            "telephone_number": "816-456-8568",
            "fax_number": "816-420-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHACHATURYAN",
        "first_name": "ERNEST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-02",
        "last_updated": "2014-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MO",
            "license": "LC0639066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordyn Terese Kettner, PHARMD
• Krystal Anne Keup, M.D.
• Jordan Raishawn Keys, MD
• Keystone Medical Group, PC
• Nina Khabeishvili, MD
• Girwan Khadka, PHD
• Zohreh Khakizamani, NURSE PRACTITIONER
• Mai Khalaf, M.D.
• Farnaz Khalafi, M.D.
• Dunia Taufiq Khaled, M.D.

• Non-emergency Medical Transport (VAN) in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Non-emergency Medical Transport (VAN) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2014; 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.