Active NPI
James Patrick Keleher, DC
- Nutrition Chiropractor
- Tucson, AZ
National Provider Identifier
1285723015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 4598
- Practice address
- 6145 E 5TH St
Tucson, AZ 85711-2505 - Phone
- (520) 745-1611
- Fax
- (520) 745-7846
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 4598 | AZ | Primary |
| Acupuncturist | 171100000X | AZ |
Addresses
Primary practice location
6145 E 5TH St
Tucson, AZ 85711-2505
Mailing address
601 N Rook Ave
Tucson, AZ 85711-1630
Phone (520) 745-2002
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0234480 | Other | AZ | BLUECROSS/BLUESHIELD |
| WC28100310 | Other | AZ | WORKERSCOMPENSATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1001 N Swan Rd
Tucson, AZ 85711-1215
Phone (520) 745-1611
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4598 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 5TH Street Associates, Inc | Nutrition | Current | Accepting new patients |
| Aligned Health | Chiropractor | Past | Accepting new patients |
Locations
1001 N Swan Rd
Tucson, AZ 85711
Phone (520) 323-7133
6145 E 5th St
Tucson, AZ 85711
Phone (520) 272-8375
Organizations & group practices 2
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.
-
- Nutrition Chiropractor
- Tucson, AZ
- NPI 1962581413
-
- Chiropractor
- Tucson, AZ
- NPI 1801375977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339977600000",
"number": "1285723015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 N ROOK AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857111630",
"telephone_number": "520-745-2002",
"fax_number": "520-745-7846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6145 E 5TH ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857112505",
"telephone_number": "520-745-1611",
"fax_number": "520-745-7846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELEHER",
"first_name": "JAMES",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2012-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "AZ",
"license": "4598",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "AZ",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS/BLUESHIELD",
"identifier": "AZ0234480",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERSCOMPENSATION",
"identifier": "WC28100310",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.