Individual provider Active NPI

Edgar Myron Kahn II, DC

  • Chiropractor
  • Thornton, CO
National Provider Identifier
1740488626
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5866 Issued in CO
Practice address
12932 Grant Cir E
#A
Thornton, CO 80241-2493
Phone
(303) 450-1313
Fax
(303) 450-1313
NPI assigned
Jul 3, 2007
Last updated
Mar 6, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5866 CO Primary

Addresses

Primary practice location

12932 Grant Cir E
#A
Thornton, CO 80241-2493

Mailing address

12932 Grant Cir E
#A
Thornton, CO 80241-2493
Phone (303) 450-1313

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
5866COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Specialized Spine Associates Chiropractor PastSince Mar 18, 2009 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, 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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1740488626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12932 GRANT CIR E",
            "address_2": "#A",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802412493",
            "telephone_number": "303-450-1313",
            "fax_number": "303-450-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12932 GRANT CIR E",
            "address_2": "#A",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802412493",
            "telephone_number": "303-450-1313",
            "fax_number": "303-450-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "EDGAR",
        "middle_name": "MYRON",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; 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.