Organization Active NPI

Keenrx

  • Specialist
  • Decatur, AL
National Provider Identifier
1407609969
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
KEENRX
Practice address
1305 5TH Ave SE
Decatur, AL 35601-4220
Phone
(256) 309-7556
NPI assigned
Apr 5, 2024
Last updated
Apr 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Authorized official

Name
Hisham Mozeb
Title
Ceo
Phone
(256) 309-7556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1305 5TH Ave SE
Decatur, AL 35601-4220

Mailing address

1305 5TH Ave SE
Decatur, AL 35601-4220
Phone (256) 309-7556

National Provider Directory

National Provider Directory

Locations

1305 5th Ave SE
Decatur, AL 35601
Phone (256) 309-7556

NPI Registry JSON

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1407609969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 5TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014220",
            "telephone_number": "256-309-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 5TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014220",
            "telephone_number": "256-309-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEENRX",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "MOZEB",
        "authorized_official_first_name": "HISHAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-309-7556"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.