Individual provider Active NPI

David Kahn, D.C.

  • Chiropractor
  • Fernley, NV
National Provider Identifier
1619958295
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B-741 Issued in NV
Practice address
240 US Highway 95a S
Suite B
Fernley, NV 89408-9705
Phone
(775) 575-5511
Fax
(775) 575-6767
NPI assigned
Nov 9, 2005
Last updated
Sep 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B-741 NV Primary

Addresses

Primary practice location

240 US Highway 95a S
Suite B
Fernley, NV 89408-9705

Mailing address

240 US Highway 95a S
Suite B
Fernley, NV 89408-9705
Phone (775) 575-5511

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050929000582 NV Practitioner - Chiropractic 2163457094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

240 US Hwy 95a S
B
Fernley, NV 89408-9738
Phone (775) 575-5511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
B-741NVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fernley Chiropractic, Inc Chiropractor CurrentSince Aug 22, 2001 Accepting new patients

Locations

240 US Highway 95A S
Ste B
Fernley, NV 89408
Phone (775) 575-5511

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1619958295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 US HIGHWAY 95A S",
            "address_2": "SUITE B",
            "city": "FERNLEY",
            "state": "NV",
            "postal_code": "894089705",
            "telephone_number": "775-575-5511",
            "fax_number": "775-575-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 US HIGHWAY 95A S",
            "address_2": "SUITE B",
            "city": "FERNLEY",
            "state": "NV",
            "postal_code": "894089705",
            "telephone_number": "775-575-5511",
            "fax_number": "775-575-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B-741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernley, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.