Individual provider Active NPI

Alexander Khanin, D.C.

  • Chiropractor
  • Cottonwood Heights, UT
National Provider Identifier
1669420378
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12407599-1202 Issued in UT
Practice address
7050 S Highland Dr Ste 240
Cottonwood Heights, UT 84121-3761
Phone
(801) 874-9620
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12407599-1202 UT Primary
Chiropractor 111N00000X DC 27993 CA

Addresses

Primary practice location

7050 S Highland Dr Ste 240
Cottonwood Heights, UT 84121-3761

Mailing address

7050 S Highland Dr Ste 240
Cottonwood Heights, UT 84121-3761
Phone (801) 874-9620

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
DC 27993CAMDChiropractor
12407599-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Chiropractic Chiropractor PastSince Jan 1, 1990 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1669420378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 S HIGHLAND DR STE 240",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841213761",
            "telephone_number": "801-874-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 S HIGHLAND DR STE 240",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841213761",
            "telephone_number": "801-874-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANIN",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "12407599-1202",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC  27993",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood Heights, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.