Individual provider Active NPI

Sasha Kecman, DC

  • Nutrition Chiropractor
  • Henderson, TX
National Provider Identifier
1942440904
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
10338 Issued in TX
Practice address
1301 US Highway 79 N
Henderson, TX 75652-6013
Phone
(903) 657-6500
Fax
(903) 657-4891
NPI assigned
Mar 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 10338 TX Primary

Addresses

Primary practice location

1301 US Highway 79 N
Henderson, TX 75652-6013

Mailing address

1301 US Highway 79 N
Henderson, TX 75652-6013
Phone (903) 657-6500

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10338TXMDNutrition Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236038400000",
    "number": "1942440904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 US HIGHWAY 79 N",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756526013",
            "telephone_number": "903-657-6500",
            "fax_number": "903-657-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 US HIGHWAY 79 N",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756526013",
            "telephone_number": "903-657-6500",
            "fax_number": "903-657-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KECMAN",
        "first_name": "SASHA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "TX",
            "license": "10338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.