Individual provider Active NPI

Barry J Keatley, D.C.

  • Chiropractor
  • Jackson, MI
National Provider Identifier
1205806833
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301002787 Issued in MI
Practice address
1328 Kathmar Dr
Jackson, MI 49203-5211
Phone
(734) 426-3994
Fax
(734) 426-2631
NPI assigned
Jan 25, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301002787 MI Primary

Addresses

Primary practice location

1328 Kathmar Dr
Jackson, MI 49203-5211

Mailing address

1328 Kathmar Dr
Jackson, MI 49203-5211
Phone (517) 784-5445

Other identifiers 1

IdentifierTypeStateIssuer
1706900MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2301002787MIMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1205806833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 KATHMAR DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492035211",
            "telephone_number": "517-784-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 KATHMAR DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492035211",
            "telephone_number": "734-426-3994",
            "fax_number": "734-426-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATLEY",
        "first_name": "BARRY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301002787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1706900",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.