Active NPI
Keith Allan Kramer, D.C.
- Chiropractor
- Peoria, IL
National Provider Identifier
1407916851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038008433
- Practice address
- 2208 W Willow Knolls Dr
Peoria, IL 61614-1467 - Phone
- (309) 693-9600
- Fax
- (309) 693-3616
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038008433 | IA | Primary |
Addresses
Primary practice location
2208 W Willow Knolls Dr
Peoria, IL 61614-1467
Mailing address
7620 N University St
Peoria, IL 61614-1297
Phone (309) 693-9600
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Symplast | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2208 W Willow Knolls Dr
Peoria, IL 61614-1467
Phone (309) 693-9600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038008433 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kramer Chiropractic and Accupuncture Center LLC | Chiropractor | Current | Accepting new patients |
Locations
2208 W Willow Knolls Dr
Peoria, IL 61614
Phone (309) 693-9600
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Peoria, IL
- NPI 1770593311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1407916851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7620 N UNIVERSITY ST",
"city": "PEORIA",
"state": "IL",
"postal_code": "616141297",
"telephone_number": "309-693-9600",
"fax_number": "309-693-3616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2208 W WILLOW KNOLLS DR",
"city": "PEORIA",
"state": "IL",
"postal_code": "616141467",
"telephone_number": "309-693-9600",
"fax_number": "309-693-3616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAMER",
"first_name": "KEITH",
"middle_name": "ALLAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "038008433",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Symplast",
"affiliation": "N",
"endpointDescription": "software",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2208 W Willow Knolls Dr",
"city": "Peoria",
"state": "IL",
"country_code": "US",
"postal_code": "616141467",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.