Individual provider Active NPI

Shaun Kahn, DC

  • Chiropractor
  • Destin, FL
National Provider Identifier
1235249657
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14093 Issued in FL
Practice address
4481 Legendary Dr Ste 150
Destin, FL 32541-5386
Phone
(850) 424-7856
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH14093 FL Primary

Addresses

Primary practice location

4481 Legendary Dr Ste 150
Destin, FL 32541-5386

Mailing address

265 Lakeland Dr
Miramar Beach, FL 32550-4634
Phone (850) 424-7856

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220923001140 FL Practitioner - Chiropractic 0345130936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suncoast Healthcare Professionals PLLC 2 clinicians

Practice addresses (Care Compare)

431 E Hollywood Blvd
Mary Esther, FL 32569-2058
Phone (850) 864-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Regatta Chiropractic Laser and Wellness Center Inc Chiropractor CurrentSince Jun 18, 2022 Accepting new patients
Suncoast Healthcare Professionals PLLC CurrentSince Feb 26, 2026 Accepting new patients
Ozark Chiropractic Arts Past Accepting new patients
Twin Lakes Chiropractic Clinic Chiropractor Past Accepting new patients

Locations

4481 Legendary Dr
Ste 150
Destin, FL 32541
Phone (850) 420-7854

431 E Hollywood Blvd
Mary Esther, FL 32569
Phone (850) 864-5300

Organizations & group practices 4

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1235249657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 LAKELAND DR",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325504634",
            "telephone_number": "850-424-7856",
            "fax_number": "850-424-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4481 LEGENDARY DR STE 150",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325415386",
            "telephone_number": "850-424-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "SHAUN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.