Active NPI
Keehn Chiropractic Clinic
- Chiropractor
- Marysville, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 600424793
- Legal business name
- KEEHN CHIROPRACTIC CLINIC
- Practice address
- 1241 State Ave Ste 101
Marysville, WA 98270-3612 - Phone
- (360) 659-8411
- Fax
- (360) 658-1033
- NPI assigned
- Jul 11, 2007
- Last updated
- Feb 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen Richard Keehn, D.C.
- Title
- Owner/President
- Phone
- (360) 659-8411
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 600424793 | WA | Primary |
Addresses
Primary practice location
1241 State Ave Ste 101
Marysville, WA 98270-3612
Mailing address
1241 State Ave Ste 101
Marysville, WA 98270-3612
Phone (360) 659-8411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0201599 | Other | WA | DEPARTMENT OF LABOR AND I |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1241 State Ave
Ste 101
Marysville, WA 98270
Phone (360) 650-8411
505 Cedar Ave
Ste C3
Marysville, WA 98270
Phone (360) 659-8411
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Kenai, AK
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581292800000",
"number": "1114126182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1241 STATE AVE STE 101",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982703612",
"telephone_number": "360-659-8411",
"fax_number": "360-658-1033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1241 STATE AVE STE 101",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982703612",
"telephone_number": "360-659-8411",
"fax_number": "360-658-1033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEEHN CHIROPRACTIC CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-11",
"last_updated": "2020-02-10",
"certification_date": "2020-02-10",
"status": "A",
"authorized_official_last_name": "KEEHN",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "RICHARD",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "360-659-8411",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WA",
"license": "600424793",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF LABOR AND I",
"identifier": "0201599",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marysville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.