Individual provider Active NPI

Kami L.R. Mahony, D.C.

  • Chiropractor
  • Ft. Wayne, IN
National Provider Identifier
1821110750
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003156A Issued in IN
Practice address
8422 Union Chapel Rd.
Ft. Wayne, IN 46845
Phone
(260) 319-1126
Fax
(260) 627-0772
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034410 WA
Chiropractor 111N00000X 08003156A IN Primary

Addresses

Primary practice location

8422 Union Chapel Rd.
Ft. Wayne, IN 46845

Mailing address

7021 Garman Rd.
Auburn, IN 46706
Phone (260) 687-0542

Other names 1

  • Dr. Kami L Rathburn Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08003156AINMDChiropractor
CH00034410WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mahony-Rathburn Chiropractic, LLC Chiropractor CurrentSince Dec 5, 2021 Accepting new patients

Locations

8422 Union Chapel Rd
Fort Wayne, IN 46845
Phone (260) 319-1126

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1821110750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7021 GARMAN RD.",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "46706",
            "telephone_number": "260-687-0542",
            "fax_number": "260-627-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8422 UNION CHAPEL RD.",
            "city": "FT. WAYNE",
            "state": "IN",
            "postal_code": "46845",
            "telephone_number": "260-319-1126",
            "fax_number": "260-627-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONY",
        "first_name": "KAMI",
        "middle_name": "L.R.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034410",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003156A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAMI",
            "last_name": "RATHBURN",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ft. Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.