Keith Harden Lineberry I, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

NC2360 Issued in NC

Practice address

901 S Ayersville Rd
Mayodan, NC 27027-0010

Phone

(336) 548-2225

Fax

(336) 548-3059

NPI assigned

Aug 9, 2006

Last updated

Dec 4, 2007By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lineberry Chiropractic, P.a.

  • Chiropractor
  • Mayodan, NC
  • NPI 1225117427
  NPD (past) Authorized official

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1396755591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MAYODAN",
            "state": "NC",
            "postal_code": "270270010",
            "telephone_number": "336-548-2225",
            "fax_number": "336-548-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S AYERSVILLE RD",
            "city": "MAYODAN",
            "state": "NC",
            "postal_code": "270270010",
            "telephone_number": "336-548-2225",
            "fax_number": "336-548-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINEBERRY",
        "first_name": "KEITH",
        "middle_name": "HARDEN",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "NC2360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908264",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0826U",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Marie Jimenez, CADC-R
• Malrie Emmitt Johnson, DDS
• Yen Thi Hong Le, OD
• Christopher Nou Lee, M.D.
• Lineberry Chiropractic, P.a.
• Pamela D. Love, M.D.
• Malrie E. Johnson DDS. PA.
• Davina D Manuel, RPH
• Maureen E Burns
• Joshua Lee Moore

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.