Individual provider Active NPI

Alexa Theresa Keller, DC

  • Chiropractor
  • Lebanon, OH
National Provider Identifier
1225522840
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-04917 Issued in OH
Practice address
31 E Mulberry St
Lebanon, OH 45036-2203
Phone
(513) 409-4222
NPI assigned
Jun 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4909 NC
Chiropractor 111N00000X DC-04917 OH Primary

Addresses

Primary practice location

31 E Mulberry St
Lebanon, OH 45036-2203

Mailing address

527 Sage Run Dr
Lebanon, OH 45036-3919
Phone (937) 478-2477

Other practice location 1

916 W Morgan St
Raleigh, NC 27603-1512
Phone (919) 782-3870

Other practice location 2

2301 Far Hills Ave
Oakwood, OH 45419-1513
Phone (937) 293-3052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180731001854 NC Practitioner - Chiropractic 8729336235
I20200221000775 OH Practitioner - Chiropractic 8729336235 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

31 E Mulberry St
Lebanon, OH 45036-2203
Phone (513) 409-4222

807 Cherry Hill LN
Lebanon, OH 45036-8283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-04917OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Allcare Family Chiropractic LLC Chiropractor CurrentSince Mar 1, 2024 Accepting new patients

Locations

31 E Mulberry St
Lebanon, OH 45036
Phone (480) 570-9124

Organizations & group practices 2

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": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1225522840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 SAGE RUN DR",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450363919",
            "telephone_number": "937-478-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 E MULBERRY ST",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450362203",
            "telephone_number": "513-409-4222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "916 W Morgan St",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276031512",
            "country_code": "US",
            "telephone_number": "919-782-3870",
            "fax_number": "919-782-3867",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 Far Hills Ave",
            "address_purpose": "LOCATION",
            "city": "Oakwood",
            "state": "OH",
            "postal_code": "454191513",
            "country_code": "US",
            "telephone_number": "937-293-3052",
            "fax_number": "937-293-1565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "ALEXA",
        "middle_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4909",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-04917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.