Individual provider Active NPI

Kathleen Parks Hahn, DC

  • Chiropractor
  • Mount Pleasant, SC
National Provider Identifier
1558923276
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4452 Issued in SC
Practice address
1321 Chuck Dawley Blvd Ste 104
Mount Pleasant, SC 29464-7304
Phone
(843) 881-1242
NPI assigned
Jul 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4452 SC Primary

Addresses

Primary practice location

1321 Chuck Dawley Blvd Ste 104
Mount Pleasant, SC 29464-7304

Mailing address

1321 Chuck Dawley Blvd Ste 104
Mount Pleasant, SC 29464-7304
Phone (843) 881-1242

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190909001864 SC Practitioner - Chiropractic 5395083422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1037 Chuck Dawley Blvd
Suite D102
Mount Pleasant, SC 29464-4149
Phone (843) 881-1242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4452SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Pleasant Chiropractic Center LLC Chiropractor CurrentSince Jun 25, 2019 Accepting new patients
Mt. Pleasant Chiropractic Center PastSince Jun 25, 2013 Accepting new patients

Locations

1037 Chuck Dawley Blvd
Ste D102
Mount Pleasant, SC 29464
Phone (843) 571-0602

1321 Chuck Dawley Blvd
Ste 104
Mt Pleasant, SC 29464
Phone (843) 881-1242

Organizations & group practices 2

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": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1558923276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 CHUCK DAWLEY BLVD STE 104",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647304",
            "telephone_number": "843-881-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 CHUCK DAWLEY BLVD STE 104",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647304",
            "telephone_number": "843-881-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "KATHLEEN",
        "middle_name": "PARKS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.