Individual provider Active NPI

Chad Michael Kahl

  • Chiropractor
  • Bismarck, ND
National Provider Identifier
1346252178
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
754 Issued in ND
Practice address
425 S 7TH St
Bismarck, ND 58504-5801
Phone
(701) 258-8388
Fax
(701) 258-8788
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 754 ND Primary

Addresses

Primary practice location

425 S 7TH St
Bismarck, ND 58504-5801

Mailing address

425 S 7TH St
Bismarck, ND 58504-5801
Phone (701) 258-8388

Other identifiers 1

IdentifierTypeStateIssuer
24855OtherNDBCBS OF ND

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041004000803 ND Practitioner - Chiropractic 4981663242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southridge Chiropractic PCGroup PAC ID 5698734549, 7 clinicians

Practice addresses (Care Compare)

425 S 7TH St
Bismarck, ND 58504-5801
Phone (701) 258-8388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southridge Chiropractic PC Chiropractor CurrentSince Sep 1, 2006 Accepting new patients

Locations

425 S 7th St
Bismarck, ND 58504
Phone (701) 258-8388

933 Basin Ave
Bismarck, ND 58504
Phone (701) 222-1300

208 Main St
Mc Intosh, SD 57641
Phone (605) 273-4335

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187827200000",
    "number": "1346252178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S 7TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045801",
            "telephone_number": "701-258-8388",
            "fax_number": "701-258-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S 7TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045801",
            "telephone_number": "701-258-8388",
            "fax_number": "701-258-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHL",
        "first_name": "CHAD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ND",
            "identifier": "24855",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.