Kellerman Chiropractic Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12406 Issued in TX

Legal business name

KELLERMAN CHIROPRACTIC CENTER LLC

Practice address

4010 Sandy Brook Dr
Suite 103
Round Rock, TX 78665-1516

Phone

(512) 258-9355

NPI assigned

May 16, 2016

Organization subpart

No

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

Authorized official

Name

Nicolas KellermanNPI 1669559993

Title

Owner

Phone

(512) 258-9355

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicolas L Kellerman, D.C.

  • Chiropractor
  • Round Rock, TX
  • NPI 1669559993
  NPD Authorized official

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1457708976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 SANDY BROOK DR",
            "address_2": "SUITE 103",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 SANDY BROOK DR",
            "address_2": "SUITE 103",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651516",
            "telephone_number": "512-258-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLERMAN CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "KELLERMAN",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-258-9355"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "318547",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Misty D Keim, LMT
• Keith Chiropractic
• Keith Dennis OD PA
• William Chad Keith, DC
• David Earl Kellar, LPC
• Nicolas L Kellerman, D.C.
• Marwa Kelley, MS, LPC
• Herbert Kellins, D.C.
• Charles Kelly
• Daniel Joseph Kelly, M.D.

• Chiropractor in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.