Active NPI
Shaun Kahn, DC
- Chiropractor
- Destin, FL
National Provider Identifier
1235249657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH14093
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regatta Chiropractic Laser and Wellness Center Inc | Chiropractor | Current | Accepting new patients |
| Suncoast Healthcare Professionals PLLC | Current | 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.
-
- Sports Physician Chiropractor
- Mary Esther, FL
- NPI 1891862322
FL
-
- Chiropractor
- Destin, FL
- NPI 1578299947
-
- Medical Specialty Clinic/Center
- Harrison, AR
- NPI 1194905547
-
- Chiropractor
- Lakeview, AR
- NPI 1356411276
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.