Individual provider Active NPI

Junaid Q Khan, D.C.

  • Chiropractor
  • Altamonte Springs, FL
National Provider Identifier
1215377833
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10638 Issued in FL
Practice address
280 S. State Road 434 1049a
Altamonte Springs, FL 32714
Phone
(407) 478-6777
Fax
(407) 478-6666
NPI assigned
Jun 27, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10638 FL Primary

Addresses

Primary practice location

280 S. State Road 434 1049a
Altamonte Springs, FL 32714

Mailing address

280 S. State Road 434 1049a
Altamonte Springs, FL 32714
Phone (407) 478-6777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131008000941 FL Practitioner - Chiropractic 4183631625 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Palm Beach Rehab, Corp. CurrentSince Mar 7, 2022 Accepting new patients
Royal Palm Beach Rehab, Corp Chiropractor CurrentSince Mar 7, 2022 Accepting new patients
Medical Therapies Inc CurrentSince Apr 17, 2007 Accepting new patients
Royal Palm Beach Rehab, Corp Chiropractor Current Accepting new patients
Royal Palm Beach Rehab, Corp Chiropractor Past Accepting new patients
D. G. & Leeds, LLC Chiropractor Past Accepting new patients
Health Group Center Inc Past Accepting new patients

Locations

280 S State Road 434
Ste 1049
Altamonte Springs, FL 32714
Phone (321) 262-0727

4971 Le Chalet Blvd
Ste 100
Boynton Beach, FL 33436
Phone (561) 733-5590

111 E Monument Ave
Unit 515
Kissimmee, FL 34741
Phone (321) 262-0261

9305 SE Maricamp Rd
Ocala, FL 34472
Phone (352) 325-5708

6150 Metrowest Blvd
Ste 102
Orlando, FL 32835
Phone (407) 270-9519

Organizations & group practices 7

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": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1215377833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 S. STATE ROAD 434 1049A",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32714",
            "telephone_number": "407-478-6777",
            "fax_number": "407-478-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 S. STATE ROAD 434 1049A",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32714",
            "telephone_number": "407-478-6777",
            "fax_number": "407-478-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "JUNAID",
        "middle_name": "Q",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.