Keith S Jacoby, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9723 Issued in TX

Practice address

2009 S Coulter St
Amarillo, TX 79106-2521

Phone

(806) 353-1208

Fax

(806) 352-1401

NPI assigned

Oct 2, 2006

Last updated

Sep 24, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Albracht-Jacoby Chiropractic Clinic

  dba Keith S. Jacoby DC

  • Chiropractor
  • Amarillo, TX
  • NPI 1265604292
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1346333887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062521",
            "telephone_number": "806-353-1208",
            "fax_number": "806-352-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062521",
            "telephone_number": "806-353-1208",
            "fax_number": "806-352-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBY",
        "first_name": "KEITH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "608046",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Jo Jackson, PTA
• Jason A Jackson
• Robert E Jackson III, M.D.
• Sandra Rae Jackson
• Tanya Diane Jackson, RNFA
• Erica Jacquez Bural, LCSW
• Mireya Jaeger
• Ali Jaffar, M.D.
• Gloria Jaimes, DC
• Leonela Jaimes

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.