Individual provider Active NPI

Richard L Keim, D.C.

  • Chiropractor
  • Goshen, IN
National Provider Identifier
1225370240
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08000562A Issued in IN
Practice address
2424 Peddlers Village Rd
Goshen, IN 46528-5778
Phone
(574) 533-0815
Fax
(574) 533-0815
NPI assigned
Mar 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08000562A IN Primary

Addresses

Primary practice location

2424 Peddlers Village Rd
Goshen, IN 46528-5778

Mailing address

2424 Peddlers Village Rd
Goshen, IN 46528-5778
Phone (574) 533-0815

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marick Chiropractic Services, P.C. Chiropractor CurrentSince Dec 28, 2021 Accepting new patients

Locations

2424 Peddlers Village Rd
Goshen, IN 46528
Phone (574) 533-0815

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1225370240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 PEDDLERS VILLAGE RD",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465285778",
            "telephone_number": "574-533-0815",
            "fax_number": "574-533-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 PEDDLERS VILLAGE RD",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465285778",
            "telephone_number": "574-533-0815",
            "fax_number": "574-533-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIM",
        "first_name": "RICHARD",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08000562A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.