Individual provider Active NPI

Christopher John Kahanec, D.C.

  • Chiropractor
  • Belleville, NJ
National Provider Identifier
1679931653
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00733500 Issued in NJ
Practice address
544 Washington Ave
Belleville, NJ 07109-3334
Phone
(973) 759-3020
NPI assigned
Feb 4, 2016
Last updated
Apr 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00733500 NJ Primary

Addresses

Primary practice location

544 Washington Ave
Belleville, NJ 07109-3334

Mailing address

544 Washington Ave
Belleville, NJ 07109-3334
Phone (973) 759-3020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170628002683 NJ Practitioner - Chiropractic 8628347069 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health and Spine Wellness CenterGroup PAC ID 1456749639, 4 clinicians

Practice addresses (Care Compare)

544 Washington Ave
Belleville, NJ 07109-3748
Phone (973) 759-3020

75 Park Ave
Park Ridge, NJ 07656-1241
Phone (201) 364-1289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00733500NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Park Ridge Chiropractic Chiropractor CurrentSince Mar 8, 2023 Accepting new patients
Health & Spine Wellness Center Chiropractor Past Accepting new patients
Daniel Chiropractic, PC Chiropractor PastSince Sep 28, 2016 Accepting new patients

Locations

75 Park Ave
Park Ridge, NJ 07656
Phone (201) 364-1289

Organizations & group practices 3

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": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1679931653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 WASHINGTON AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093334",
            "telephone_number": "973-759-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 WASHINGTON AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093334",
            "telephone_number": "973-759-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHANEC",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-04",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00733500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.