Organization Active NPI

Keith Delap, D.C.,P.L.L.C.

  • Rehabilitation Chiropractor
  • Waterford, MI
National Provider Identifier
1114294782
Registry record updated Nov 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
2301004770 Issued in MI
Legal business name
KEITH DELAP, D.C.,P.L.L.C.
Practice address
3263 Dixie Hwy
Waterford, MI 48328-1605
Phone
(248) 673-6400
Fax
(248) 674-0711
NPI assigned
Nov 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2011

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

Authorized official

Name
Dr. Keith Delap, D.C.
Title
Owner
Phone
(248) 673-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 2301004770 MI Primary

Addresses

Primary practice location

3263 Dixie Hwy
Waterford, MI 48328-1605

Mailing address

3263 Dixie Hwy
Waterford, MI 48328-1605
Phone (248) 673-6400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322179200000",
    "number": "1114294782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3263 DIXIE HWY",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281605",
            "telephone_number": "248-673-6400",
            "fax_number": "248-674-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3263 DIXIE HWY",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281605",
            "telephone_number": "248-673-6400",
            "fax_number": "248-674-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH DELAP, D.C.,P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-25",
        "last_updated": "2011-11-25",
        "status": "A",
        "authorized_official_last_name": "DELAP",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-673-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MI",
            "license": "2301004770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2011; 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.