Cameron Reza Khavarimanesh, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8116 Issued in AZ

Practice address

4417 N 40TH St Ste 400a
Phoenix, AZ 85018

Phone

(480) 619-2020

Fax

(480) 436-5800

NPI assigned

Feb 15, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Cameron Reza Khavari Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr. Cameron Khavari PLLC

  • Chiropractor
  • Phoenix, AZ
  • NPI 1891117974
  NPD (past) Authorized official

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1326360587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 E MOUNTAIN SKY AVE STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850443743",
            "telephone_number": "480-619-2020",
            "fax_number": "480-436-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4417 N 40TH ST STE 400A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85018",
            "telephone_number": "480-619-2020",
            "fax_number": "480-436-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAVARIMANESH",
        "first_name": "CAMERON",
        "middle_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-15",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMERON",
            "last_name": "KHAVARI",
            "middle_name": "REZA",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Antoine Kharsa, MD
• Emma Hope Khatami, PHD
• Kourosh Sean Khatami, M.D.
• Lana Hussein Khatib, PA-C
• Mazen Khattab, MD
• Khawaja Consulting, P.C.
• Harris Khawaja, D.O.
• Yakov Khaydatov, DMD
• Maya Khazei
• Aqeel Khdaier

• Chiropractor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.