Individual provider Active NPI

Jeffrey John Keon, D.C.

  • Chiropractor
  • Sacramento, CA
National Provider Identifier
1336223213
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25579 Issued in CA
Practice address
2025 Hurley Way Ste 110
Sacramento, CA 95825-3225
Phone
(916) 487-3008
Fax
(916) 487-1197
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC25579 CA Primary

Addresses

Primary practice location

2025 Hurley Way Ste 110
Sacramento, CA 95825-3225

Mailing address

2025 Hurley Way Ste 110
Sacramento, CA 95825-3225
Phone (916) 487-3008

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111128000075 CA Practitioner - Chiropractic 6709050313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2025 Hurley Way
Suite 110
Sacramento, CA 95825-3225
Phone (916) 487-3007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC25579CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey J Keon & Dina J Keon, a Chiropractic Corporation CurrentSince Sep 3, 2011 Accepting new patients
Oak Point Chiropractic & Wellness Center Chiropractor PastSince Aug 30, 2002 Accepting new patients

Locations

1260 Fulton Ave
Ste A
Sacramento, CA 95825
Phone (916) 487-3007

2025 Hurley Way
Ste 110
Sacramento, CA 95825
Phone (916) 487-3007

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1336223213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 HURLEY WAY STE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253225",
            "telephone_number": "916-487-3008",
            "fax_number": "916-487-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 HURLEY WAY STE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253225",
            "telephone_number": "916-487-3008",
            "fax_number": "916-487-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEON",
        "first_name": "JEFFREY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.