Individual provider Active NPI

Melena Keeth, D.C.

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1306166996
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4038 Issued in OK
Practice address
2828 NW 50TH St
Oklahoma City, OK 73112-8004
Phone
(405) 445-6126
Fax
(877) 866-2141
NPI assigned
Jun 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4038 OK Primary

Addresses

Primary practice location

2828 NW 50TH St
Oklahoma City, OK 73112-8004

Mailing address

2828 NW 50TH St
Oklahoma City, OK 73112-8004
Phone (405) 445-6126

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130916000365 OK Practitioner - Chiropractic 6103959275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5300 N Meridian Ave
6 Inbalance Chiro and Wellness
Oklahoma City, OK 73112-2137
Phone (405) 445-6126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4038OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Natural Health LLC CurrentSince Jun 7, 2010 Accepting new patients
Primary Chiropractic LLC Inbalance Chiropractic & Wellness Chiropractor PastSince Jan 11, 2014 Accepting new patients
Jeurink Family Chiropractic and Wellness Center, LLC PastSince Jan 1, 2012 Accepting new patients

Locations

325 E Main St
Ste C
Gardner, KS 66030
Phone (913) 856-4595

5300 N Meridian Ave
Ste 6
Oklahoma City, OK 73112
Phone (405) 445-6126

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1306166996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 NW 50TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731128004",
            "telephone_number": "405-445-6126",
            "fax_number": "877-866-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 NW 50TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731128004",
            "telephone_number": "405-445-6126",
            "fax_number": "877-866-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEETH",
        "first_name": "MELENA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-04",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.

Verify at the official NPI Registry.