Khan Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

088321 Issued in IA

Legal business name

KHAN CHIROPRACTIC PLLC

Practice address

228 Mamie Eisenhower Ave
Boone, IA 50036-3426

Phone

(515) 298-0515

NPI assigned

Aug 21, 2017

Organization subpart

No

Name

Dr. Nathaniel Khan, DCNPI 1396268140

Title

Doctor

Phone

(515) 298-0515

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

• Nathaniel F Khan, DC

  • Chiropractor
  • Boone, IA
  • NPI 1396268140
  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 21, 2017.

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503273600000",
    "number": "1780100792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 MAMIE EISENHOWER AVE",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500363426",
            "telephone_number": "515-212-8939",
            "fax_number": "515-212-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 MAMIE EISENHOWER AVE",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500363426",
            "telephone_number": "515-298-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHAN CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-21",
        "last_updated": "2017-08-21",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "515-298-0515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "088321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Marie Josephson, PTA
• Katherine Kasper, R.D., L.D.
• Katherine M Dinges PLLC
• Samantha Rae Kelley, PHARMD
• Chandima Kelsey, D.P.T.
• Nathaniel F Khan, DC
• Melinda J. Kimball-Gerritson
• Kinne Family Pharmacy Inc
• Kinne Family Pharmacy Inc
• Kinne Family Pharmacy Inc

• All providers in Boone, IA
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.