Harold H Kevanian, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00441700 Issued in NJ

Practice address

101 Town Center Drive
Suite 115
Warren, NJ 07059

Phone

(908) 561-2323

Fax

(908) 561-3434

NPI assigned

Oct 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Mountain Chiropractic Center LLC

  • Chiropractor
  • Warren, NJ
  • NPI 1487936951
  NPD (past) Authorized official

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241740800000",
    "number": "1447335203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TOWN CENTER DRIVE",
            "address_2": "SUITE 115",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "07059",
            "telephone_number": "908-561-2323",
            "fax_number": "908-561-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TOWN CENTER DRIVE",
            "address_2": "SUITE 115",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "07059",
            "telephone_number": "908-561-2323",
            "fax_number": "908-561-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEVANIAN",
        "first_name": "HAROLD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2009-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00441700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5375143",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Kaufmann, PT, DPT
• Susanna Kayserman, DDS
• Lauren Keane, APN
• Mariam Keita, DO
• Kenneth Donovan DPM LLC
• Jessica Kiernan
• Thomas H Kloos, MD
• Lawrence S Kluger, MD
• Ava Kodrich-Gonzalez, LSW
• Kamilla Kogan, PHARM.D.

• Chiropractor in Warren, NJ
• Providers in Warren, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.