Active NPI
Bruce R Kahn, D.C.
- Chiropractor
- Dover, NJ
National Provider Identifier
1740281856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC02559
- Practice address
- 6-16 E Blackwell St
Dover, NJ 07801-4654 - Phone
- (973) 989-1200
- Fax
- (973) 989-1201
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- No
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 | MC02559 | NJ | Primary |
Addresses
Primary practice location
6-16 E Blackwell St
Dover, NJ 07801-4654
Mailing address
6-16 E Blackwell St
Dover, NJ 07801-4654
Phone (973) 989-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1344706 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040227000719 | NJ | Practitioner - Chiropractic | 3476449158 | Practice locations: Dover, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1983
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6 16 E Blackwell
Dover, NJ 07801-4657
Phone (973) 989-1200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC02559 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1740281856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6-16 E BLACKWELL ST",
"city": "DOVER",
"state": "NJ",
"postal_code": "078014654",
"telephone_number": "973-989-1200",
"fax_number": "973-989-1201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6-16 E BLACKWELL ST",
"city": "DOVER",
"state": "NJ",
"postal_code": "078014654",
"telephone_number": "973-989-1200",
"fax_number": "973-989-1201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHN",
"first_name": "BRUCE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC02559",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1344706",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dover, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.