Individual provider Active NPI

Kallil Ibrahim Kazan, D.C.

  • Chiropractor
  • Dearborn, MI
National Provider Identifier
1346254604
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008405 Issued in MI
Practice address
6 Parklane Blvd Ste 104
Dearborn, MI 48126-4214
Phone
(313) 695-1000
NPI assigned
Jul 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008405 MI Primary

Addresses

Primary practice location

6 Parklane Blvd Ste 104
Dearborn, MI 48126-4214

Mailing address

6 Parklane Blvd Ste 104
Dearborn, MI 48126-4214
Phone (313) 695-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301008405MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rock Rehabilitation Center LLC Current Accepting new patients
Pro-Line Physical Therapy, LLC CurrentSince Aug 18, 2020 Accepting new patients
Kazan Health Systems PLLC Chiropractor Past Accepting new patients

Organizations & group practices 3

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": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1346254604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PARKLANE BLVD STE 104",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264214",
            "telephone_number": "313-695-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PARKLANE BLVD STE 104",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264214",
            "telephone_number": "313-695-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZAN",
        "first_name": "KALLIL",
        "middle_name": "IBRAHIM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.