Individual provider Active NPI

Kevin John Keyes, DC

  • Chiropractor
  • The Woodlands, TX
National Provider Identifier
1497842348
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8103 Issued in TX
Practice address
1755 Woodstead CT Ste 100
The Woodlands, TX 77380-0964
Phone
(936) 447-9484
Fax
(936) 447-9497
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8103 TX Primary

Addresses

Primary practice location

1755 Woodstead CT Ste 100
The Woodlands, TX 77380-0964

Mailing address

17450 St Lukes Way
Suite 180
The Woodlands, TX 77384-8044
Phone (936) 447-9484

Other identifiers 1

IdentifierTypeStateIssuer
042300601MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100702000232 TX Practitioner - Chiropractic 8325179500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Alabama College of Osteopathic Medicine, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1755 Woodstead CT
Suite 100
The Woodlands, TX 77380-0964
Phone (281) 465-9525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8103TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Keyes to Health PLLC Chiropractor CurrentSince Dec 18, 2016 Accepting new patients
Sadler Clinic Association Past Accepting new patients

Locations

17450 St Lukes Way
Ste 180
The Woodlands, TX 77384
Phone (281) 465-9525

1755 Woodstead Ct
Ste 100
The Woodlands, TX 77380
Phone (281) 465-9525

Organizations & group practices 2

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1497842348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17450 ST LUKES WAY",
            "address_2": "SUITE 180",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848044",
            "telephone_number": "936-447-9484",
            "fax_number": "936-447-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 WOODSTEAD CT STE 100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773800964",
            "telephone_number": "936-447-9484",
            "fax_number": "936-447-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYES",
        "first_name": "KEVIN",
        "middle_name": "JOHN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042300601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.

Verify at the official NPI Registry.