Organization Active NPI

Keller Chiropractic PC LLC

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1568623932
Registry record updated Mar 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5184 Issued in CO
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

Updated by the provider on Mar 3, 2018

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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.