Michael Alan Keller, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

847 Issued in SD

Practice address

404 W. Grand Crossing
Mobridge, SD 57601-2046

Phone

(605) 845-7808

Fax

(605) 845-5808

NPI assigned

Jan 19, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Keller Chiropractic Clinic, PC

  • Chiropractor
  • Mobridge, SD
  • NPI 1982908018
  Medicare reassignment NPD Authorized official
• Keller and Wolf Chiropractic Clinic LLC

  • Chiropractor
  • Mobridge, SD
  • NPI 1740382621
  Authorized official Same address or phone
• Keller and Wolf Chiropractic Clinic LLC

  • Chiropractor
  • Gettysburg, SD
  • NPI 1972662823
  NPD (past) Authorized official
• Henderson Chiropractic Clinic, PLLC

  • Chiropractor
  • Mobridge, SD
  • NPI 1497472971
  NPD
• Eureka Chiropractic Clinic, Prof LLC

  • Chiropractor
  • Eureka, SD
  • NPI 1194887703
  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1083694657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 W. GRAND CROSSING",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "576012046",
            "telephone_number": "605-845-7808",
            "fax_number": "605-845-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 W. GRAND CROSSING",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "576012046",
            "telephone_number": "605-845-7808",
            "fax_number": "605-845-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7604004",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anette Hollenbeck, CNP
• Malissa Holm, COTA
• Celeste Anne Karzon
• Keller and Wolf Chiropractic Clinic LLC
• Keller Chiropractic Clinic, PC
• Michael Mason Keller, FNP
• Jennifer Lynn Landon, COTA/L01
• Faith Antoinette Laroche, NAACT
• Jenny Marie Larson, LPC
• Holly V Lashmet, CRNA

• Chiropractor in Mobridge, SD
• Providers in Mobridge, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.