Potsawat Khamhaeng, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

15752 Issued in TX

Practice address

4611 Preston Rd Ste 150
Frisco, TX 75034-7601

Phone

(469) 200-5046

NPI assigned

Sep 19, 2023

Last updated

Sep 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Flow State Chiropractic LLC

  • Clinic/Center
  • Frisco, TX
  • NPI 1871361881
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1801674940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 PRESTON RD STE 150",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347601",
            "telephone_number": "469-200-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 PRESTON RD STE 150",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347601",
            "telephone_number": "469-200-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAMHAENG",
        "first_name": "POTSAWAT",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailee Keys
• Kim Nhung Kha, DDS
• Srijana Khadka, PT
• Mohammed Adeeluzzaman Khaleel, MD
• Sana Khalid, MS, RDN, LD
• Malina Khamvongsa, O.D.
• Sarah Azim Khan-Atif, MD
• Adeeba S Khan, DO
• Adeel Khan, DO
• Amir Ishaq Khan, MD

• Chiropractor in Frisco, TX
• Providers in Frisco, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.