Individual provider Active NPI

Erin M Keitel, DC

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1073348199
Registry record updated Sep 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC36924 Issued in CA
Practice address
2180 Garnet Ave Ste 3D
San Diego, CA 92109-3676
Phone
(619) 693-6389
NPI assigned
Sep 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC36924 CA Primary

Addresses

Primary practice location

2180 Garnet Ave Ste 3D
San Diego, CA 92109-3676

Mailing address

2180 Garnet Ave Ste 3D
San Diego, CA 92109-3676
Phone (619) 693-6389

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
DC36924CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Chiropractic Inc Chiropractor PastSince Sep 8, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725667200000",
    "number": "1073348199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 GARNET AVE STE 3D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093676",
            "telephone_number": "619-693-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 GARNET AVE STE 3D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093676",
            "telephone_number": "619-693-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITEL",
        "first_name": "ERIN",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-07",
        "certification_date": "2024-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2024; 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.