Active NPI
Keller Chiropractic PC LLC
- Chiropractor
- Colorado Springs, CO
National Provider Identifier
1568623932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5184
- Legal business name
- KELLER CHIROPRACTIC PC LLC
- Practice address
- 6190 Lehman Dr Ste 100
Colorado Springs, CO 80918-3445 - Phone
- (719) 597-7206
- Fax
- (719) 597-7864
- NPI assigned
- Jun 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jason Lee Keller, D.C.
- Title
- Manager/Member
- Phone
- (719) 597-7206
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5184 | CO | Primary |
Addresses
Primary practice location
6190 Lehman Dr Ste 100
Colorado Springs, CO 80918-3445
Mailing address
6190 Lehman Dr Ste 100
Colorado Springs, CO 80918-3445
Phone (719) 597-7206
Other names 1
- iMed Spine Center
National Provider Directory
National Provider DirectoryLocations
6190 Lehman Dr
Ste 100
Colorado Springs, CO 80918
Phone (719) 597-7206
4440 Barnes Rd
Ste 200
Colorado Springs, CO 80917
Phone (719) 597-7206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1520035200000",
"number": "1568623932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6190 LEHMAN DR STE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809183445",
"telephone_number": "719-597-7206",
"fax_number": "719-597-7864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6190 LEHMAN DR STE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809183445",
"telephone_number": "719-597-7206",
"fax_number": "719-597-7864"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KELLER CHIROPRACTIC PC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-19",
"last_updated": "2018-03-03",
"status": "A",
"authorized_official_last_name": "KELLER",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "MANAGER/MEMBER",
"authorized_official_telephone_number": "719-597-7206",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CO",
"license": "5184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "iMed Spine Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.