Nicholas D Keim, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038012191 Issued in IL

Practice address

1207 Thouvenot LN Ste 100
Shiloh, IL 62269-8917

Phone

(618) 234-8300

Fax

(618) 234-8295

NPI assigned

May 22, 2012

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 IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Keim Family Chiropractic LLC

  • Chiropractor
  • O Fallon, IL
  • NPI 1003326075
  Medicare reassignment Authorized official
• Shiloh Chiropractic, LLC

  • Chiropractor
  • Shiloh, IL
  • NPI 1063595239
  NPD (past)

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1003176231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 THOUVENOT LN STE 100",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622698917",
            "telephone_number": "618-234-8300",
            "fax_number": "618-234-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 THOUVENOT LN STE 100",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622698917",
            "telephone_number": "618-234-8300",
            "fax_number": "618-234-8295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIM",
        "first_name": "NICHOLAS",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Jeremiah, MA, QMHP, LCPC, LPHA
• Jennifer Jeanne Jouett, PA-C
• Brooke Juneau, DMD
• Tina Marie Kampwerth, LCPC
• Christopher John Keck
• Sekou Khary Kelsey, MD
• Abigail Kenney, FNP-C
• Bethany Kette, MD
• Katelyn Kidd, PT
• Ciara Elizabeth Kiefer, RN

• Chiropractor in Shiloh, IL
• Providers in Shiloh, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.