Organization Active NPI

Family Chiropractic Clinic, P.C.

  • Chiropractor
  • Powell, WY
National Provider Identifier
1174795108
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
606 Issued in WY
Legal business name
FAMILY CHIROPRACTIC CLINIC, P.C.
Practice address
401 S Bent St Ste a
Powell, WY 82435-2837
Phone
(307) 754-5777
Fax
(307) 754-5316
NPI assigned
Mar 31, 2008
Last updated
Mar 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Dr. Rahim Khan, D.C,NPI 1457594590
Title
President
Phone
(307) 754-5777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 606 WY Primary

Addresses

Primary practice location

401 S Bent St Ste a
Powell, WY 82435-2837

Mailing address

401 S Bent St Ste a
Powell, WY 82435-2837
Phone (307) 754-5777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090430000034 WY Part B Supplier - Clinic/Group Practice 5991853038 Receives reassigned benefits from 2 practitioners
Practice locations: Powell, WY

National Provider Directory

National Provider Directory

Locations

401 S Bent St
Ste A
Powell, WY 82435
Phone (307) 754-5777

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1174795108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S BENT ST STE A",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352837",
            "telephone_number": "307-754-5777",
            "fax_number": "307-754-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S BENT ST STE A",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352837",
            "telephone_number": "307-754-5777",
            "fax_number": "307-754-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "RAHIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-754-5777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C,"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.