Individual provider Active NPI

Jared Matthew Key, D.C.

  • Chiropractor
  • Port Saint Lucie, FL
National Provider Identifier
1306941059
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11246 Issued in FL
Practice address
12131 SW Oakwater CT
Port Saint Lucie, FL 34987-2702
Phone
(678) 207-7829
NPI assigned
Sep 14, 2006
Last updated
May 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH11246 FL Primary

Addresses

Primary practice location

12131 SW Oakwater CT
Port Saint Lucie, FL 34987-2702

Mailing address

12131 SW Oakwater CT
Port Saint Lucie, FL 34987-2702
Phone (678) 207-7829

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160323001669 FL Practitioner - Chiropractic 8628174232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1383 SW Gatlin Blvd
Port St Lucie, FL 34953-4102
Phone (772) 249-0421

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Key Chiropractic P.a. Chiropractor CurrentSince Oct 12, 2015 Accepting new patients
Cornerstone Chiropractic PC Chiropractor PastSince Dec 23, 2018 Accepting new patients

Locations

1383 SW Gatlin Blvd
Port St Lucie, FL 34953
Phone (772) 249-0421

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1306941059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12131 SW OAKWATER CT",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349872702",
            "telephone_number": "678-207-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12131 SW OAKWATER CT",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349872702",
            "telephone_number": "678-207-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEY",
        "first_name": "JARED",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.