Mosen Rashid Khani, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4056 Issued in KY

Practice address

10701 W. Manslick Rd.
Fairdale, KY 40118

Phone

(502) 367-2112

Fax

(502) 367-7799

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1988

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Alliance Chiropractic of SE, LLC

  • Chiropractor
  • Fairdale, KY
  • NPI 1831255116
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1467520783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 W. MANSLICK RD.",
            "city": "FAIRDALE",
            "state": "KY",
            "postal_code": "40118",
            "telephone_number": "502-367-2112",
            "fax_number": "502-367-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 W. MANSLICK RD.",
            "city": "FAIRDALE",
            "state": "KY",
            "postal_code": "40118",
            "telephone_number": "502-367-2112",
            "fax_number": "502-367-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANI",
        "first_name": "MOSEN",
        "middle_name": "RASHID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4056",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "20358",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85001568",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT MEDICAID",
            "identifier": "1150524",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000108879",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terrica Michelle Flowers, APRN
• Susan E Hagan, M.D.
• Krista R Hefty, LMT
• Intrinzik Health Care Services
• Keyonna Johnson, LCSW
• Shelley Lampe
• Louisville-Jefferson County Metro Government
• Lousville-Jefferson County Metro Government
• Dona J Meers, C.N.P.
• Renu M. Mehta, M.D.

• Chiropractor in Fairdale, KY
• Providers in Fairdale, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.