Organization Active NPI

Dr. Aaron H. Keith, PLLC

Doing business as Woodinville Pain Relief Clinic

  • Neurology Chiropractor
  • Woodinville, WA
National Provider Identifier
1265551303
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
Legal business name
DR. AARON H. KEITH, PLLC
Doing business as
Woodinville Pain Relief Clinic
Practice address
17419 139TH Ave NE
Woodinville, WA 98072-8519
Phone
(425) 368-2003
NPI assigned
Mar 28, 2007
Last updated
Feb 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Dr. Aaron Hansford Keith, DCNPI 1851561856
Title
Owner
Phone
(425) 368-2003

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
Neurology Chiropractor 111NN0400X Primary

Addresses

Primary practice location

17419 139TH Ave NE
Woodinville, WA 98072-8519

Mailing address

17419 139TH Ave NE
Woodinville, WA 98072-8519
Phone (425) 368-2003

Other identifiers 1

IdentifierTypeStateIssuer
GAB 32752OtherWAMEDICARE PTAN

Other names 1

  • WOODINVILLE PAIN RELIEF CLINIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151217000917 WA Part B Supplier - Clinic/Group Practice 4981596517 Receives reassigned benefits from 1 practitioner
Practice locations: Woodinville, WA

National Provider Directory

National Provider Directory

Locations

17419 139th Ave NE
Woodinville, WA 98072
Phone (425) 368-2003

Practitioners & affiliated clinicians

Practitioners 2

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1265551303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17419 139TH AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728519",
            "telephone_number": "425-368-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17419 139TH AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728519",
            "telephone_number": "425-368-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. AARON H. KEITH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "HANSFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-368-2003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GAB 32752",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOODINVILLE PAIN RELIEF CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.