Keim Family Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.012191 Issued in IL

Legal business name

KEIM FAMILY CHIROPRACTIC LLC

Practice address

804 W Highway 50 Ste 210
O Fallon, IL 62269-1827

Phone

(618) 444-3234

NPI assigned

Oct 4, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas David Keim, DCNPI 1003176231

Title

Manager

Phone

(618) 444-3234

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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.

• Nicholas D Keim, D.C

  • Chiropractor
  • Shiloh, IL
  • NPI 1003176231
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1003326075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 W HIGHWAY 50 STE 210",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691827",
            "telephone_number": "618-607-0110",
            "fax_number": "618-607-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 W HIGHWAY 50 STE 210",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691827",
            "telephone_number": "618-444-3234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1059 Nathalie Fay Ln",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "IL",
            "postal_code": "622696785",
            "country_code": "US",
            "telephone_number": "618-444-3234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KEIM FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "KEIM",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "618-444-3234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in O Fallon, IL
• Providers in O Fallon, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.