Active NPI
Alexander Chiropractic Neurology Center, LLC
- Neurology Chiropractor
- Kenosha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- 4717-12
- Legal business name
- ALEXANDER CHIROPRACTIC NEUROLOGY CENTER, LLC
- Practice address
- 2717 18TH St Ste 100
Kenosha, WI 53140-4666 - Phone
- (262) 484-4165
- Fax
- (262) 484-4326
- NPI assigned
- Dec 18, 2012
- Last updated
- Jun 6, 2024
- 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. Keith Adam Alexander, DC, DCBCN
- Title
- Owner/President
- Phone
- (262) 484-4165
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 4717-12 | WI | Primary |
Addresses
Primary practice location
2717 18TH St Ste 100
Kenosha, WI 53140-4666
Mailing address
2717 18TH St Ste 100
Kenosha, WI 53140-4666
Phone (262) 484-4165
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2717 18th St
Ste 100
Kenosha, WI 53140
Phone (262) 551-5650
12719 Sheridan Rd
Pleasant Prairie, WI 53158
Phone (262) 484-4165
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.
-
- Neurology Chiropractor
- Kenosha, WI
- NPI 1780893628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717632000000",
"number": "1255677340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2717 18TH ST STE 100",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531404666",
"telephone_number": "262-484-4165",
"fax_number": "262-484-4326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2717 18TH ST STE 100",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531404666",
"telephone_number": "262-484-4165",
"fax_number": "262-484-4326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALEXANDER CHIROPRACTIC NEUROLOGY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-18",
"last_updated": "2024-06-06",
"certification_date": "2024-06-05",
"status": "A",
"authorized_official_last_name": "ALEXANDER",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "ADAM",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "262-484-4165",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC, DCBCN"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "WI",
"license": "4717-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.