Cory Scott Keesee, D.C. – Chiropractor

Key facts

NPI: 1265889356
Entity type: Individual (NPI type 1)
Primary specialty: Chiropractor 111N00000X
License: DC-05137 (OH)
Practice address: 52 S Main St
Johnstown, OH 43031-1225
Phone: (740) 967-0020
NPI assigned: May 18, 2016
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

Eric S. Hansen, DC, PA Chiropractor · Fort Lauderdale, FL · NPI 1164721999

NPD (past) CHIROPRACTOR

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
DC-05137	OH	MD	Chiropractor

Practice roles

Organization	Specialty	Status	New patients
Eric S. Hansen, DC, PA	Chiropractor	Past since Apr 16, 2017	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor	111N00000X	DC-05137	OH	Yes

Addresses

Primary practice location

52 S Main St
Johnstown, OH 43031-1225

Mailing address

52 S Main St
Johnstown, OH 43031-1225
Phone (740) 967-0020

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 29, 2021.

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1265889356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 S MAIN ST",
            "city": "JOHNSTOWN",
            "state": "OH",
            "postal_code": "430311225",
            "telephone_number": "740-967-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 S MAIN ST",
            "city": "JOHNSTOWN",
            "state": "OH",
            "postal_code": "430311225",
            "telephone_number": "740-967-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEESEE",
        "first_name": "CORY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-18",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-05137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, OH

All providers in Johnstown, OH · Chiropractor in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.