Robert E Keroson, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0869 Issued in SC

Practice address

143 U.S Hwy 321
Winnsboro, SC 29180-0206

Phone

(803) 635-3211

Fax

(803) 635-6460

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144319047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291800206",
            "telephone_number": "803-635-3211",
            "fax_number": "803-635-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 U.S HWY 321",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291800206",
            "telephone_number": "803-635-3211",
            "fax_number": "803-635-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEROSON",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "0869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH0869",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mycha I Jackson, LPC
• Petrina Jackson
• Cheryl A. Johnson
• Shemika Johnson
• Tiera Johnson
• Leiloni Alicia Khai
• Kudchadkar Clinic
• Anil Kudchadkar, M.D.
• Shubha Kudchadkar, M.D.
• Michelle Law

• Chiropractor in Winnsboro, SC
• Providers in Winnsboro, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.