Kade Keck, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-2096 Issued in ID

Practice address

528 N State St
Shelley, ID 83274-1154

Phone

(208) 357-0333

NPI assigned

Jan 6, 2021

Last updated

Jan 6, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ellis Chiropractic IncGroup PAC ID 2466473582, 2 clinicians

Lifetime Wellness Chiropractic PLLCGroup PAC ID 6406991256, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Lifetime Wellness Chiropractic PLLC

  • Chiropractor
  • Shelley, ID
  • NPI 1962734889
  Medicare reassignment Care Compare group NPD
• Ellis Chiropractic Inc

  • Chiropractor
  • Blackfoot, ID
  • NPI 1043406705
  Care Compare group
• Shelley Chiropractic, P.a.

  • Primary Care Clinic/Center
  • Shelley, ID
  • NPI 1811167109
  NPD (past)

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1346838232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 N STATE ST",
            "city": "SHELLEY",
            "state": "ID",
            "postal_code": "832741154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 N STATE ST",
            "city": "SHELLEY",
            "state": "ID",
            "postal_code": "832741154",
            "telephone_number": "208-357-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KECK",
        "first_name": "KADE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-2096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Hernandez
• Amanda Medrano Johnson, LPC
• Klarice Ann Johnson, LCSW
• Joint School District 60
• Jordan Daniel Keck, DC
• Kerner Counseling and Consultation Group
• Madison Knowles, MS, LMHC, LPC, LCPC
• Kaja Madison Korenke, IS
• Viktoriya Lichtenberg
• Lifetime Wellness Chiropractic PLLC

• Chiropractor in Shelley, ID
• Providers in Shelley, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.