Individual provider Active NPI

Keeton Perry, DC

  • Chiropractor
  • Carrollton, TX
National Provider Identifier
1568971471
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13488 Issued in TX
Practice address
2800 N Interstate 35E Ste 200
Carrollton, TX 75007-4405
Phone
(214) 995-8299
Fax
(972) 920-3468
NPI assigned
Sep 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 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 13488 TX Primary

Addresses

Primary practice location

2800 N Interstate 35E Ste 200
Carrollton, TX 75007-4405

Mailing address

3964 State Highway 121 Apt 3096
Lewisville, TX 75056-8600
Phone (903) 240-1120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13488TXMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Amplify Chiropractic, PLLC Chiropractor CurrentSince Oct 9, 2022 Accepting new patients
Arlington Chiropractic Center LLC Chiropractor PastSince Nov 5, 2016 Accepting new patients

Locations

2800 N Interstate 35E
Ste 200
Carrollton, TX 75007
Phone (214) 995-8299

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": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1568971471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3964 STATE HIGHWAY 121 APT 3096",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750568600",
            "telephone_number": "903-240-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N INTERSTATE 35E STE 200",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750074405",
            "telephone_number": "214-995-8299",
            "fax_number": "972-920-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "KEETON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-22",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.