Organization Active NPI

Kim Keene, D.C., P.a.

  • Chiropractor
  • Castle Rock, CO
National Provider Identifier
1184051187
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7220 Issued in CO
Legal business name
KIM KEENE, D.C., P.A.
Practice address
757 Maleta LN
Suite 104
Castle Rock, CO 80108-7612
Phone
(720) 885-3008
Fax
(720) 733-2433
NPI assigned
Oct 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Authorized official

Name
Dr. Kimberly Jo Keene, D.C.
Title
Owner
Phone
(941) 914-6550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7220 CO Primary

Addresses

Primary practice location

757 Maleta LN
Suite 104
Castle Rock, CO 80108-7612

Mailing address

757 Maleta LN
Suite 104
Castle Rock, CO 80108-7612
Phone (720) 885-3008

National Provider Directory

National Provider Directory

Locations

757 Maleta Ln
Ste 104
Castle Rock, CO 80108
Phone (720) 885-3008

104 4th St
Castle Rock, CO 80104
Phone (303) 660-4747

3612 S Atlantic Ave
Daytona Beach Shores, FL 32118
Phone (386) 290-7378

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": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1184051187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 MALETA LN",
            "address_2": "SUITE 104",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801087612",
            "telephone_number": "720-885-3008",
            "fax_number": "720-733-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 MALETA LN",
            "address_2": "SUITE 104",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801087612",
            "telephone_number": "720-885-3008",
            "fax_number": "720-733-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM KEENE, D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "KEENE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-914-6550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "7220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.