Organization Active NPI

Messamore Chiropractic, Inc.

  • Chiropractor
  • Kalamazoo, MI
National Provider Identifier
1063553097
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
KM008130 Issued in MI
Legal business name
MESSAMORE CHIROPRACTIC, INC.
Practice address
5053 Sports Dr
Ste 100
Kalamazoo, MI 49009-7117
Phone
(269) 978-4325
Fax
(269) 978-1108
NPI assigned
Feb 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Keith C Messamore I, D.C.
Title
Owner
Phone
(269) 978-4325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X KM008130 MI Primary

Addresses

Primary practice location

5053 Sports Dr
Ste 100
Kalamazoo, MI 49009-7117

Mailing address

5053 Sports Dr
Ste 100
Kalamazoo, MI 49009-7117
Phone (269) 978-4325

Other identifiers 2

IdentifierTypeStateIssuer
0007351293OtherMIAETNA PIN
P110843OtherMIBCN NUMBER

National Provider Directory

National Provider Directory

Locations

6220 Stadium Dr
Kalamazoo, MI 49009
Phone (269) 978-4325

5053 Sports Dr
Ste 100
Kalamazoo, MI 49009
Phone (269) 978-4325

NPI Registry JSON

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063553097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5053 SPORTS DR",
            "address_2": "STE 100",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490097117",
            "telephone_number": "269-978-4325",
            "fax_number": "269-978-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5053 SPORTS DR",
            "address_2": "STE 100",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490097117",
            "telephone_number": "269-978-4325",
            "fax_number": "269-978-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESSAMORE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MESSAMORE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-978-4325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "KM008130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "0007351293",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN NUMBER",
            "identifier": "P110843",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.