Keith a. Evans, DC,PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5213 Issued in TX

Legal business name

KEITH A. EVANS, DC,PC

Practice address

4220 Treadway Rd
Beaumont, TX 77706-7105

Phone

(409) 833-5600

Fax

(409) 833-2111

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Keith Alan Evans, D.C.

Title

President

Phone

(409) 833-5600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Beaumont Spinal Care Associates Doing business as

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1336209162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 TREADWAY RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067105",
            "telephone_number": "409-833-5600",
            "fax_number": "409-833-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 TREADWAY RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067105",
            "telephone_number": "409-833-5600",
            "fax_number": "409-833-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH A. EVANS, DC,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-833-5600",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TX GROUP #",
            "identifier": "00000016HG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaumont Spinal Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Lynn Kavanaugh, PT
• Darioush Kavouspour, MD
• Khalid Kayani, MD
• Abeera Kazmi, MD
• Syeda Aleeza Kazmi, OD
• Elizabeth L Keith, RN
• Cathy Kekeocha
• Kristie Kelley, R.T.
• Ryan P Kelley, FNP-C
• Brandi Kelly, LPC

• Chiropractor in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.