Individual provider Active NPI

Shant A Karayan, D.C.

  • Chiropractor
  • Burbank, CA
National Provider Identifier
1497801393
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
016442 Issued in CA
Practice address
2625 W Alameda Ave Ste 310
Burbank, CA 91505-4819
Phone
(818) 972-9142
Fax
(818) 972-2074
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 016442 CA Primary

Addresses

Primary practice location

2625 W Alameda Ave Ste 310
Burbank, CA 91505-4819

Mailing address

2625 W Alameda Ave Ste 310
Burbank, CA 91505-4819
Phone (818) 972-9142

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050811000241 CA Practitioner - Chiropractic 6709815517 Practice locations: Burbank, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016442CAMDChiropractor
16442CAMDAcupuncturist

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497801393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 W ALAMEDA AVE STE 310",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054819",
            "telephone_number": "818-972-9142",
            "fax_number": "818-972-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 W ALAMEDA AVE STE 310",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054819",
            "telephone_number": "818-972-9142",
            "fax_number": "818-972-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAYAN",
        "first_name": "SHANT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "016442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.