Active NPI
Khalid Karkache, D.C.
- Chiropractor
- Everett, MA
National Provider Identifier
1447315148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 2390
- Practice address
- 469 Broadway
Everett, MA 02149-3602 - Phone
- (617) 389-9919
- Fax
- (617) 389-9962
- NPI assigned
- Dec 25, 2006
- Last updated
- Jul 9, 2007
- 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 | CH 2390 | MA | Primary |
Addresses
Primary practice location
469 Broadway
Everett, MA 02149-3602
Mailing address
7 Clifton St
Wilmington, MA 01887-3127
Phone (978) 447-1999
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1696891 | Medicaid | MA | |
| 2518041 | Other | MA | AETNA HEALTH CARE |
| 1202096 | Other | MA | UNITED HEALTH CARE |
| 36684 | Other | MA | BLUE CROSS BLUE SHIELD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| CH 2390 | MA | MD | Chiropractor |
| 2390 | MA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1447315148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 CLIFTON ST",
"city": "WILMINGTON",
"state": "MA",
"postal_code": "018873127",
"telephone_number": "978-447-1999",
"fax_number": "617-398-9962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "469 BROADWAY",
"city": "EVERETT",
"state": "MA",
"postal_code": "021493602",
"telephone_number": "617-389-9919",
"fax_number": "617-389-9962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARKACHE",
"first_name": "KHALID",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-25",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "CH 2390",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1696891",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH CARE",
"identifier": "2518041",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1202096",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "36684",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Everett, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.