Alliance Chiropractic of SE, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4056 Issued in KY

Legal business name

ALLIANCE CHIROPRACTIC OF SE, LLC

Doing business as

Natural Health Center

Practice address

10701 W Manslick Rd
Fairdale, KY 40118-9581

Phone

(502) 367-2112

Fax

(502) 367-7799

NPI assigned

Dec 29, 2006

Last updated

Mar 11, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mosen R. Khani, D.C.NPI 1467520783

Title

Managing Director

Phone

(502) 367-2112

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Natural Health Center Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mosen Rashid Khani, D.C.

  • Chiropractor
  • Fairdale, KY
  • NPI 1467520783
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1831255116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 W MANSLICK ROAD",
            "city": "FAIRDALE",
            "state": "KY",
            "postal_code": "40118",
            "telephone_number": "502-367-2112",
            "fax_number": "502-367-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 W MANSLICK RD",
            "city": "FAIRDALE",
            "state": "KY",
            "postal_code": "401189581",
            "telephone_number": "502-367-2112",
            "fax_number": "502-367-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE CHIROPRACTIC OF SE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "KHANI",
        "authorized_official_first_name": "MOSEN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "502-367-2112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350053484",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000108878",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85001568",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT MEDICAID",
            "identifier": "1150522",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Natural Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Fairdale, KY
• Providers in Fairdale, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.