Organization Active NPI

Dr Keith Wein DC PSC

  • Chiropractor
  • Corydon, IN
National Provider Identifier
1245623446
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08000999A Issued in IN
Legal business name
DR KEITH WEIN DC PSC
Practice address
2030 In-337
Corydon, IN 47112
Phone
(812) 738-1935
NPI assigned
Mar 12, 2015
Last updated
Apr 29, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
DR KEITH WEIN DC PSCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Keith Wein, D.CNPI 1437119336
Title
Owner/Doctor
Phone
(501) 376-9562

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08000999A IN Primary

Addresses

Primary practice location

2030 In-337
Corydon, IN 47112

Mailing address

2328 Redwood PL
Clarksville, IN 47129-1280
Phone (502) 376-9562

Other identifiers 1

IdentifierTypeStateIssuer
300064741MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150324001666 IN Part B Supplier - Clinic/Group Practice 9234456641 Receives reassigned benefits from 1 practitioner
Practice locations: Corydon, IN

National Provider Directory

National Provider Directory
Part of
Dr Keith Wein DC PSC

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1245623446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 REDWOOD PL",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471291280",
            "telephone_number": "502-376-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 IN-337",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "47112",
            "telephone_number": "812-738-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KEITH WEIN DC PSC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR KEITH WEIN DC PSC",
        "enumeration_date": "2015-03-12",
        "last_updated": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "WEIN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "501-376-9562",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08000999A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300064741",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corydon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.

Verify at the official NPI Registry.