Individual provider Active NPI

Evan Andrew Kahn, DC, DACBSP

  • Chiropractor
  • Holly Springs, NC
National Provider Identifier
1194041012
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4054 Issued in NC
Practice address
154 Village Walk Dr
Suite 133
Holly Springs, NC 27540-7679
Phone
(919) 986-1492
NPI assigned
Apr 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4054 NC Primary

Addresses

Primary practice location

154 Village Walk Dr
Suite 133
Holly Springs, NC 27540-7679

Mailing address

154 Village Walk Dr
Holly Springs, NC 27540-7679
Phone (984) 225-2149

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170515000726 NC Practitioner - Chiropractic 9436306040 Receives reassigned benefits from 1 practitioner
Practice locations: Holly Springs, NC

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

154 Village Walk Dr
Holly Springs, NC 27540-7679
Phone (919) 986-1492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North State Sport & Spine CurrentSince Mar 1, 2016 Accepting new patients
Scott David Greenapple Chiropractor PastSince Jun 3, 2010 Accepting new patients
De Health Partners PC Chiropractor Past Accepting new patients

Locations

154 Village Walk Dr
Ste 133
Holly Springs, NC 27540
Phone (919) 986-1492

154 Village Walk Dr
Holly Springs, NC 27540
Phone (919) 986-1492

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1194041012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 VILLAGE WALK DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275407679",
            "telephone_number": "984-225-2149",
            "fax_number": "984-538-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 VILLAGE WALK DR",
            "address_2": "SUITE 133",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275407679",
            "telephone_number": "919-986-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "EVAN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DC, DACBSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-16",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.