Individual provider Active NPI

Lillian Dawn Keith-Madeiros, D.C.

  • Chiropractor
  • Oak Harbor, WA
National Provider Identifier
1285653675
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0003601 Issued in WA
Practice address
840 SE Bayshore Dr Suite 101
Oak Harbor, WA 98277
Phone
(360) 675-1066
Fax
(360) 679-2278
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0003601 WA Primary

Addresses

Primary practice location

840 SE Bayshore Dr Suite 101
Oak Harbor, WA 98277

Mailing address

840 SE Bayshore Dr Ste 101
Oak Harbor, WA 98277-4062
Phone (360) 675-1066

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0003601WAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1285653675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 SE BAYSHORE DR STE 101",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982774062",
            "telephone_number": "360-675-1066",
            "fax_number": "360-679-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 SE BAYSHORE DR SUITE 101",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "98277",
            "telephone_number": "360-675-1066",
            "fax_number": "360-679-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH-MADEIROS",
        "first_name": "LILLIAN",
        "middle_name": "DAWN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH0003601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.