Keith R Popovich, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009125 Issued in PA

Practice address

4100 Liberty Way
Elizabeth, PA 15037-3016

Phone

(412) 673-0990

Fax

(412) 673-0993

NPI assigned

May 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1528015898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 LIBERTY WAY",
            "city": "ELIZABETH",
            "state": "PA",
            "postal_code": "150373016",
            "telephone_number": "412-673-0990",
            "fax_number": "412-673-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 LIBERTY WAY",
            "city": "ELIZABETH",
            "state": "PA",
            "postal_code": "150373016",
            "telephone_number": "412-673-0990",
            "fax_number": "412-673-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPOVICH",
        "first_name": "KEITH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009125",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "AS008951",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald E Pepe, DMD
• Megan Phelan
• Pittsburgh Care Partnership, Inc.
• Heather Kirby Poisel, DR PHYSICAL THERAPY
• Elizabeth Ann Polovina
• L Robert Rack, RPH
• Michael John Raczkowski, D.C., B.S.
• Lauren Elizabeth Ressler, RN
• Ahmed Mohamed Rezk, RPH
• Robert E Rhoderick Jr.

• Chiropractor in Elizabeth, PA
• Providers in Elizabeth, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.