Individual provider Active NPI

Keith Brian Duverney

  • Chiropractor
  • New York, NY
National Provider Identifier
1447350970
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011776-1 Issued in NY
Practice address
126 Washington PL
New York, NY 10014-6819
Phone
(212) 675-6662
Fax
(212) 675-6673
NPI assigned
Sep 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006621 GA
Chiropractor 111N00000X 7130 TX
Chiropractor 111N00000X X011776-1 NY Primary

Addresses

Primary practice location

126 Washington PL
New York, NY 10014-6819

Mailing address

126 Washington PL
New York, NY 10014-6819
Phone (212) 675-6662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251114003566 SC Practitioner - Chiropractic 9638132350

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2155 Alabama Ave
Oneonta, AL 35121-1904

9716 Redstone Dr
Indian Land, SC 29707-5406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006621GAMDChiropractor
X011776-1NYMDChiropractor
7130TXMDOptometrist
4879SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Relife Pro Corporation Chiropractor CurrentSince Aug 29, 2025 Accepting new patients
Kennesaw Health and Wellness Chiropractor Past Accepting new patients
Mudbone Productions Inc Chiropractor Past Accepting new patients
Vanessa L. Troise, D.C., P.C. Chiropractor Past Accepting new patients
Bankhead Chiropractic Chiropractor PastSince Jan 1, 1990 Accepting new patients

Locations

9716 Redstone Dr
Indian Land, SC 29707
Phone (803) 992-9966

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1447350970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 WASHINGTON PL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100146819",
            "telephone_number": "212-675-6662",
            "fax_number": "212-675-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 WASHINGTON PL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100146819",
            "telephone_number": "212-675-6662",
            "fax_number": "212-675-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVERNEY",
        "first_name": "KEITH",
        "middle_name": "BRIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "006621",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7130",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011776-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.