Individual provider Active NPI

James B Keating III, D.C.

  • Chiropractor
  • Avon, IN
National Provider Identifier
1083935993
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.011572 Issued in IL
Practice address
5055 E US Highway 36 Ste 200
Avon, IN 46123-6533
Phone
(317) 600-3070
Fax
(317) 268-6361
NPI assigned
Jun 15, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.011572 IL Primary

Addresses

Primary practice location

5055 E US Highway 36 Ste 200
Avon, IN 46123-6533

Mailing address

322 W Edson PL
Lombard, IL 60148-3822
Phone (219) 873-4976

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110621000362 IN Practitioner - Chiropractic 3971783077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5055 E US Hwy 36
Suite 200
Avon, IN 46123-6533

5505 E US Hwy 36
Suite 200
Avon, IN 46234-7323
Phone (317) 600-3070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.011572ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Avon Chiropractic Clinic, LLC Chiropractor CurrentSince Feb 17, 2014 Accepting new patients
Advanced Physicians, S.C. Past Accepting new patients
Advanced Physicians, S.C. Past Accepting new patients

Locations

5055 E US Highway 36
Ste 200
Avon, IN 46123
Phone (317) 745-7000

97 Dover St
Ste 500
Avon, IN 46123
Phone (317) 600-3070

Organizations & group practices 3

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": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1083935993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 W EDSON PL",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601483822",
            "telephone_number": "219-873-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 E US HIGHWAY 36 STE 200",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236533",
            "telephone_number": "317-600-3070",
            "fax_number": "317-268-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATING",
        "first_name": "JAMES",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-15",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.