Individual provider Active NPI

Shaheryar Khan, DC

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1336721653
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14679 Issued in TX
Practice address
14114 Dallas Pkwy Ste 120
Dallas, TX 75254-4325
Phone
(972) 919-0035
Fax
(972) 919-0036
NPI assigned
Apr 26, 2021
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14679 TX Primary

Addresses

Primary practice location

14114 Dallas Pkwy Ste 120
Dallas, TX 75254-4325

Mailing address

14114 Dallas Pkwy Ste 120
Dallas, TX 75254-4325
Phone (972) 919-0035

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210824001305 TX Practitioner - Chiropractic 9638574049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14114 Dallas Pkwy
Suite 120
Dallas, TX 75254-4325
Phone (972) 919-0035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14679TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Chiropractic, LLC Chiropractor CurrentSince Jul 26, 2021 Accepting new patients

Locations

12817 Preston Rd
Ste 136
Dallas, TX 75230
Phone (972) 919-0035

14114 Dallas Pkwy
Ste 120
Dallas, TX 75254
Phone (972) 919-0035

Interoperability endpoints

  • Direct secure messaging: shaheryar.khan.1@18822.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1336721653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14114 DALLAS PKWY STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752544325",
            "telephone_number": "972-919-0035",
            "fax_number": "972-919-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14114 DALLAS PKWY STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752544325",
            "telephone_number": "972-919-0035",
            "fax_number": "972-919-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHAHERYAR",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-26",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.