Active NPI
Keys Chiropractic, P. C.
- Chiropractor
- Fort Wayne, IN
National Provider Identifier
1205027877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08001845A
- Legal business name
- KEYS CHIROPRACTIC, P. C.
- Practice address
- 2422 Lake Ave
Park Lake Medical BLDG
Fort Wayne, IN 46805-5406 - Phone
- (260) 420-8803
- Fax
- (260) 420-6814
- NPI assigned
- Aug 7, 2007
- Last updated
- Aug 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kimberly A Keys, D.C.
- Title
- President
- Phone
- (260) 420-8803
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08001845A | IN | Primary |
Addresses
Primary practice location
2422 Lake Ave
Park Lake Medical BLDG
Fort Wayne, IN 46805-5406
Mailing address
2422 Lake Ave
Park Lake Medical BLDG
Fort Wayne, IN 46805-5406
Phone (260) 420-8803
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152800 | Other | IN | MEDICARE |
| 0000190008 | Other | IN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2422 Lake Ave
Fort Wayne, IN 46805
Phone (260) 255-6376
9536 Lima Rd
Fort Wayne, IN 46818
Phone (219) 420-8803
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Fort Wayne, IN
- NPI 1043362213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186444800000",
"number": "1205027877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2422 LAKE AVE",
"address_2": "PARK LAKE MEDICAL BLDG",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468055406",
"telephone_number": "260-420-8803",
"fax_number": "260-420-6814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2422 LAKE AVE",
"address_2": "PARK LAKE MEDICAL BLDG",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468055406",
"telephone_number": "260-420-8803",
"fax_number": "260-420-6814"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEYS CHIROPRACTIC, P. C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-07",
"last_updated": "2007-08-07",
"status": "A",
"authorized_official_last_name": "KEYS",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "260-420-8803",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08001845A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "152800",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0000190008",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.