Organization Active NPI

Kenai Sports & Family Chiropractic, P.C.

  • Chiropractor
  • Kenai, AK
National Provider Identifier
1003218215
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
581 Issued in AK
Legal business name
KENAI SPORTS & FAMILY CHIROPRACTIC, P.C.
Practice address
36901 Mallard Rd
Kenai, AK 99611-6434
Phone
(907) 283-3752
Fax
(907) 283-3792
NPI assigned
Sep 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
Dr. Joseph Keith, D.C.NPI 1114353075
Title
Chiropractic Physician / President
Phone
(907) 283-3752

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 581 AK Primary

Addresses

Primary practice location

36901 Mallard Rd
Kenai, AK 99611-6434

Mailing address

36901 Mallard Rd
Kenai, AK 99611-6434
Phone (907) 283-3752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141126001547 AK Part B Supplier - Clinic/Group Practice 2567784663 Receives reassigned benefits from 1 practitioner
Practice locations: Kenai, AK

National Provider Directory

National Provider Directory

Locations

135 Bidarka St
Ste B
Kenai, AK 99611
Phone (907) 283-3752

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1003218215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36901 MALLARD RD",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996116434",
            "telephone_number": "907-283-3752",
            "fax_number": "907-283-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36901 MALLARD RD",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996116434",
            "telephone_number": "907-283-3752",
            "fax_number": "907-283-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENAI SPORTS & FAMILY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN / PRESIDENT",
        "authorized_official_telephone_number": "907-283-3752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenai, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.