Individual provider Active NPI

Douglas T Kane, DC

  • Chiropractor
  • New Albany, IN
National Provider Identifier
1639291024
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001400 Issued in IN
Practice address
3602 Northgate CT
Ste 17
New Albany, IN 47150-6417
Phone
(812) 949-0900
Fax
(812) 949-0300
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
No

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 08001400 IN Primary

Addresses

Primary practice location

3602 Northgate CT
Ste 17
New Albany, IN 47150-6417

Mailing address

3602 Northgate CT
Ste 17
New Albany, IN 47150-6417
Phone (812) 949-0900

Other identifiers 1

IdentifierTypeStateIssuer
000000319108OtherANTHEM

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
08001400INMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kane Chiropractic PSC Chiropractor Past Accepting new patients
Culver Chiropractic Chiropractor Past Accepting new patients

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639291024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 NORTHGATE CT",
            "address_2": "STE 17",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471506417",
            "telephone_number": "812-949-0900",
            "fax_number": "812-949-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 NORTHGATE CT",
            "address_2": "STE 17",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471506417",
            "telephone_number": "812-949-0900",
            "fax_number": "812-949-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "DOUGLAS",
        "middle_name": "T",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000319108",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, 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.

Verify at the official NPI Registry.