Individual provider Active NPI

Keegan James Roper, D.C.

  • Chiropractor
  • Fort Lauderdale, FL
National Provider Identifier
1487849469
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8538 Issued in FL
Practice address
2740 E Oakland Park Blvd
Suite 101
Fort Lauderdale, FL 33306-1677
Phone
(954) 491-4437
Fax
(954) 491-4492
NPI assigned
Sep 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8538 FL Primary

Addresses

Primary practice location

2740 E Oakland Park Blvd
Suite 101
Fort Lauderdale, FL 33306-1677

Mailing address

2740 E Oakland Park Blvd
Suite 101
Fort Lauderdale, FL 33306-1677
Phone (954) 491-4437

Other identifiers 1

IdentifierTypeStateIssuer
88180OtherFLBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060510000238 FL Practitioner - Chiropractic 7012928666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inline Chiropractic Group Inc Chiropractor Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1487849469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 E OAKLAND PARK BLVD",
            "address_2": "SUITE 101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061677",
            "telephone_number": "954-491-4437",
            "fax_number": "954-491-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 E OAKLAND PARK BLVD",
            "address_2": "SUITE 101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061677",
            "telephone_number": "954-491-4437",
            "fax_number": "954-491-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROPER",
        "first_name": "KEEGAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-12",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88180",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.