Organization Active NPI

Keller Chiropractic, P.L.L.C.

  • Chiropractor
  • Brighton, MI
National Provider Identifier
1255701751
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009416 Issued in MI
Legal business name
KELLER CHIROPRACTIC, P.L.L.C.
Practice address
600 E Grand River Ave Ste 2
Brighton, MI 48116-1983
Phone
(810) 360-8135
Fax
(810) 360-0717
NPI assigned
Sep 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Authorized official

Name
Dr. Ronald Dale Keller II, D.C.
Title
Doctor of Chiropractic
Phone
(810) 360-8135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301009416 MI Primary

Addresses

Primary practice location

600 E Grand River Ave Ste 2
Brighton, MI 48116-1983

Mailing address

600 E Grand River Ave Ste 2
Brighton, MI 48116-1983
Phone (810) 360-8135

National Provider Directory

National Provider Directory

Locations

600 E Grand River Ave
Brighton, MI 48116
Phone (810) 227-2400

600 E Grand River Ave
Ste 2
Brighton, MI 48116
Phone (810) 227-2400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1255701751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E GRAND RIVER AVE STE 2",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161983",
            "telephone_number": "810-360-8135",
            "fax_number": "810-360-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E GRAND RIVER AVE STE 2",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161983",
            "telephone_number": "810-360-8135",
            "fax_number": "810-360-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLER CHIROPRACTIC, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "810-360-8135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.