Individual provider Active NPI

Itzhak Kaganovich, D.C.

  • Chiropractor
  • Philadelphia, PA
National Provider Identifier
1750541850
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010142 Issued in PA
Practice address
8400 Bustleton Ave
Ste 102
Philadelphia, PA 19152-1918
Phone
(215) 342-4100
Fax
(215) 342-4101
NPI assigned
Jun 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010142 PA Primary

Addresses

Primary practice location

8400 Bustleton Ave
Ste 102
Philadelphia, PA 19152-1918

Mailing address

346 Basswood Cir
Feasterville Trevose, PA 19053-7217
Phone (215) 280-8229

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100119000080 PA Practitioner - Chiropractic 1254473937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

346 Basswood Cir
Feasterville Trevose, PA 19053-7217

8400 Bustleton Ave
Suite 102
Philadelphia, PA 19152-1918

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC010142PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Concordia Center of Clinical Chiropractic &Rehabilitation LLC Chiropractor CurrentSince Jan 22, 2010 Accepting new patients

Locations

8400 Bustleton Ave
Ste 102
Philadelphia, PA 19152
Phone (215) 280-8229

Interoperability endpoints

  • Direct secure messaging: mashina84@ccoc0002.direct.chirotouch.md

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": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1750541850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 BASSWOOD CIR",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190537217",
            "telephone_number": "215-280-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 BUSTLETON AVE",
            "address_2": "STE 102",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191521918",
            "telephone_number": "215-342-4100",
            "fax_number": "215-342-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGANOVICH",
        "first_name": "ITZHAK",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.

Verify at the official NPI Registry.