Amanda R Keates, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3960 Issued in NC

Practice address

620 NC Highway 42 W
Clayton, NC 27520-5803

Phone

(919) 400-7909

Fax

(919) 243-0530

NPI assigned

Sep 20, 2005

Sex

Female

Sole proprietor

Yes

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 NC

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Simple Well Being, LLC

  • Chiropractor
  • Wilmington, NC
  • NPI 1518772961
  Medicare reassignment NPD Authorized official
• Quintessential Wellness

  • Medical Specialty Clinic/Center
  • Clayton, NC
  • NPI 1972983286
  Authorized official Same address or phone

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1396731907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 NC HIGHWAY 42 W",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205803",
            "telephone_number": "919-400-7909",
            "fax_number": "919-243-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 NC HIGHWAY 42 W",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205803",
            "telephone_number": "919-400-7909",
            "fax_number": "919-243-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATES",
        "first_name": "AMANDA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Peterson Kaalund, MA, LPC, NCC
• Scott M Kahn, M.D.
• Kainat's Helping Hand
• Holly Rae Kaiser, D.C.
• Kelli Karl, LCSWA
• Jason Grant Keesee, DPT
• Barbara Keith
• Aaliyah Kelley-Gupton
• Danielle Catherine Kelly, M.ED, NBCT
• Emily Kelly, CD (DONA), HCHD

• Chiropractor in Clayton, NC
• Providers in Clayton, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.