Jason Kenwood Keltgen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4308 Issued in WI

Practice address

1444 Egg Harbor Rd
Sturgeon Bay, WI 54235-1240

Phone

(920) 743-2200

Fax

(920) 743-2250

NPI assigned

Jun 15, 2007

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

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hietpas Chiropractic LLC

  • Chiropractor
  • Sturgeon Bay, WI
  • NPI 1306001904
  NPD (past)
• Imperium Chiropractic

  • Chiropractor
  • Eau Claire, WI
  • NPI 1881141737
  NPD (past)
• Imperium Chiropractic SC

  • Chiropractor
  • Ladysmith, WI
  • NPI 1346638384
  NPD (past)

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1154526663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 EGG HARBOR RD",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351240",
            "telephone_number": "920-743-2200",
            "fax_number": "920-743-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 EGG HARBOR RD",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351240",
            "telephone_number": "920-743-2200",
            "fax_number": "920-743-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELTGEN",
        "first_name": "JASON",
        "middle_name": "KENWOOD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Bigari Kavanagh I, OTR
• Catherine Helen Keller, RDN
• Jamie Jo Keller, LPN
• Sarah June Keller, M.D.
• Cathleen Lee Keltgen, D.C.
• Dillyn King
• Quinn James Kirchner, M.D.
• Paul Andrew Klapatch, BA
• V Junia Klatt, R.D.H.
• Neil Walter Kleman, DO

• Chiropractor in Sturgeon Bay, WI
• Providers in Sturgeon Bay, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.