Organization Active NPI

Keith W. Fady,D.C.P.a.

  • Chiropractor
  • Largo, FL
National Provider Identifier
1154631570
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4297 Issued in FL
Legal business name
KEITH W. FADY,D.C.P.A.
Practice address
14100 Walsingham Rd
Suite 35
Largo, FL 33774-3248
Phone
(727) 596-1885
Fax
(727) 596-2434
NPI assigned
Oct 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Authorized official

Name
Dr. Keith William Fady, D.C.P.A.NPI 1306905427
Title
President
Phone
(727) 596-1885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4297 FL Primary

Addresses

Primary practice location

14100 Walsingham Rd
Suite 35
Largo, FL 33774-3248

Mailing address

14100 Walsingham Rd
Suite 35
Largo, FL 33774-3248
Phone (727) 596-1885

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110425000707 FL Part B Supplier - Clinic/Group Practice 7719162395 Receives reassigned benefits from 1 practitioner
Practice locations: Largo, FL

National Provider Directory

National Provider Directory

Locations

14100 Walsingham Rd
Ste 35
Largo, FL 33774
Phone (727) 596-1885

11685 Hamlin Blvd
Ste 1
Largo, FL 33774
Phone (727) 596-1885

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": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1154631570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 WALSINGHAM RD",
            "address_2": "SUITE 35",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743248",
            "telephone_number": "727-596-1885",
            "fax_number": "727-596-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 WALSINGHAM RD",
            "address_2": "SUITE 35",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743248",
            "telephone_number": "727-596-1885",
            "fax_number": "727-596-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH W. FADY,D.C.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "FADY",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-596-1885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C.P.A."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "4297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.

Verify at the official NPI Registry.