Terry L. Kahn, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9244 Issued in FL

Practice address

4606 S Clyde Morris Blvd
Suite 1M
Port Orange, FL 32129-6404

Phone

(386) 756-9303

Fax

(386) 756-8119

NPI assigned

Nov 27, 2006

Last updated

Oct 29, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Craig Rallo Chiropractor,LLC

  • Chiropractor
  • Old Bridge, NJ
  • NPI 1114455201
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1750457487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 S CLYDE MORRIS BLVD",
            "address_2": "SUITE 1M",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296404",
            "telephone_number": "386-756-9303",
            "fax_number": "386-756-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 S CLYDE MORRIS BLVD",
            "address_2": "SUITE 1M",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296404",
            "telephone_number": "386-756-9303",
            "fax_number": "386-756-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "TERRY",
        "middle_name": "L.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MCO2661",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9244",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10110",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1381",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "465",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000865400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shakeiva Jones
• Jordahl Chiropractic, LLC
• Je'NE Nycole Jordahl, D.C
• Jessica Maya Jordan, OD
• Abdul Q. Jumani, M.D,FACP.
• Cecelia Kane
• Jacob A Kaple, OTR/L
• Samira Karakossian, MD
• Laura Kashtan, RD
• Jeni Katsavrias

• Chiropractor in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.