Organization Active NPI

Kashi Chesapeake Chiropractic and Spinal Rehab, PC

  • Chiropractor
  • Baltimore, MD
National Provider Identifier
1750895967
Registry record updated Nov 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S03876 Issued in MD
Legal business name
KASHI CHESAPEAKE CHIROPRACTIC AND SPINAL REHAB, PC
Practice address
1103 N Point Blvd Ste 404
Baltimore, MD 21224-3486
Phone
(410) 285-2600
Fax
(410) 285-4942
NPI assigned
Nov 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2017

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

Authorized official

Name
Dr. Kaykavoos Kashi, DCNPI 1548702673
Title
President
Phone
(571) 643-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X S03876 MD Primary

Addresses

Primary practice location

1103 N Point Blvd Ste 404
Baltimore, MD 21224-3486

Mailing address

1211 S Conkling St Apt 605
Baltimore, MD 21224-5351
Phone (571) 643-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180108000141 MD Part B Supplier - Clinic/Group Practice 9830458496 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1750895967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S CONKLING ST APT 605",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245351",
            "telephone_number": "571-643-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 N POINT BLVD STE 404",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243486",
            "telephone_number": "410-285-2600",
            "fax_number": "410-285-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASHI CHESAPEAKE CHIROPRACTIC AND SPINAL REHAB, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "KASHI",
        "authorized_official_first_name": "KAYKAVOOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-643-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; 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.