Individual provider Active NPI

Rahim Khan, D.C.

  • Chiropractor
  • Powell, WY
National Provider Identifier
1457594590
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
606 Issued in WY
Practice address
401 S Bent St Ste a
Powell, WY 82435-2837
Phone
(307) 754-5777
Fax
(307) 754-5316
NPI assigned
Apr 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 606 WY Primary

Addresses

Primary practice location

401 S Bent St Ste a
Powell, WY 82435-2837

Mailing address

401 S Bent St Ste a
Powell, WY 82435-2837
Phone (307) 754-5777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090430000048 WY Practitioner - Chiropractic 2264580307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Family Chiropractic Clinic, P.C.Group PAC ID 5991853038, 2 clinicians

Practice addresses (Care Compare)

401 S Bent St
Suite a
Powell, WY 82435-2837
Phone (307) 754-5777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic Clinic, P.C. Chiropractor CurrentSince Mar 20, 2008 Accepting new patients

Locations

401 S Bent St
Ste A
Powell, WY 82435
Phone (307) 754-5777

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": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239926400000",
    "number": "1457594590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S BENT ST STE A",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352837",
            "telephone_number": "307-754-5777",
            "fax_number": "307-754-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S BENT ST STE A",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352837",
            "telephone_number": "307-754-5777",
            "fax_number": "307-754-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "RAHIM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.