Organization Active NPI

Keim Chiropractic LLC

  • Chiropractor
  • Monroeville, PA
National Provider Identifier
1598299182
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-006382-L Issued in PA
Legal business name
KEIM CHIROPRACTIC LLC
Practice address
339 Old Haymaker Rd
Suite 1900
Monroeville, PA 15146-1435
Phone
(412) 372-7500
Fax
(412) 372-7531
NPI assigned
Apr 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Dr. Douglas John Keim, D.C.NPI 1083788772
Title
Owner
Phone
(412) 372-7500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC-006382-L PA Primary

Addresses

Primary practice location

339 Old Haymaker Rd
Suite 1900
Monroeville, PA 15146-1435

Mailing address

339 Old Haymaker Rd
Suite 1900
Monroeville, PA 15146-1435
Phone (412) 372-7500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200806000896 PA Part B Supplier - Clinic/Group Practice 2961827027 Receives reassigned benefits from 1 practitioner
Practice locations: Monroeville, PA

National Provider Directory

National Provider Directory

Locations

339 Old Haymaker Rd
Ste 1900
Monroeville, PA 15146
Phone (412) 372-7500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1598299182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 OLD HAYMAKER RD",
            "address_2": "SUITE 1900",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151461435",
            "telephone_number": "412-372-7500",
            "fax_number": "412-372-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 OLD HAYMAKER RD",
            "address_2": "SUITE 1900",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151461435",
            "telephone_number": "412-372-7500",
            "fax_number": "412-372-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEIM CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "KEIM",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-372-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-006382-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.