Active NPI
Boban Kecman, D.C.
- Chiropractor
- Crown Point, IN
National Provider Identifier
1609910025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08001931A
- Practice address
- 116 N Main St
Crown Point, IN 46307-4049 - Phone
- (219) 662-8797
- NPI assigned
- Feb 18, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08001931A | IN | Primary |
Addresses
Primary practice location
116 N Main St
Crown Point, IN 46307-4049
Mailing address
116 N Main St
Crown Point, IN 46307-4049
Phone (219) 662-8797
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28617 | Other | IN | BENEFIT SYSTEMS AND SERVI |
| 28617 | Other | IN | ISTA INSURANCE TRUST |
| 90001124 | Other | IN | BC BS OF ILLINOIS |
| 7494190 | Other | IN | AETNA |
| 5466849 | Other | IN | CCN DCA |
| 28617 | Other | IN | INDIANA HEALTH NETWORK |
| 000000203846 | Other | IN | ANTHEM BC BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08001931A | IN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609910025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 N MAIN ST",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463074049",
"telephone_number": "219-662-8797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 N MAIN ST",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463074049",
"telephone_number": "219-662-8797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KECMAN",
"first_name": "BOBAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08001931A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BENEFIT SYSTEMS AND SERVI",
"identifier": "28617",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ISTA INSURANCE TRUST",
"identifier": "28617",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF ILLINOIS",
"identifier": "90001124",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7494190",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN DCA",
"identifier": "5466849",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA HEALTH NETWORK",
"identifier": "28617",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC BS",
"identifier": "000000203846",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Crown Point, IN
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.