Organization Active NPI

Red Bug Chiropractic & Rehab Center LLC

  • Chiropractor
  • Winter Springs, FL
National Provider Identifier
1417228784
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9816 Issued in FL
Legal business name
RED BUG CHIROPRACTIC & REHAB CENTER LLC
Practice address
1425 Tuskawilla Rd
Ste 153
Winter Springs, FL 32708-5289
Phone
(386) 785-3403
NPI assigned
Jan 19, 2012
Last updated
Jan 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Dr. John L Keelan, DCNPI 1013298389
Title
President
Phone
(386) 785-3403

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9816 FL Primary

Addresses

Primary practice location

1425 Tuskawilla Rd
Ste 153
Winter Springs, FL 32708-5289

Mailing address

1425 Tuskawilla Rd
Ste 153
Winter Springs, FL 32708-5289
Phone (386) 785-3403

National Provider Directory

National Provider Directory

Locations

1425 Tuskawilla Rd
Ste 153
Winter Springs, FL 32708
Phone (386) 785-3403

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1417228784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 TUSKAWILLA RD",
            "address_2": "STE 153",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085289",
            "telephone_number": "386-785-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 TUSKAWILLA RD",
            "address_2": "STE 153",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085289",
            "telephone_number": "386-785-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED BUG CHIROPRACTIC & REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "KEELAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-785-3403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.