Active NPI
Keystone Chiropractic LLC
- Chiropractor
- Huntsville, AL
National Provider Identifier
1609172048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2253
- Legal business name
- KEYSTONE CHIROPRACTIC LLC
- Practice address
- 3322 Memorial Pkwy SW
Suite 617
Huntsville, AL 35801-5335 - Phone
- (256) 270-9993
- Fax
- (256) 270-9994
- NPI assigned
- Feb 2, 2011
- Last updated
- Feb 2, 2011
- 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. Lisa D. Ingrum, D.C.
- Title
- Chiropractor
- Phone
- (256) 270-9993
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2253 | AL | Primary |
Addresses
Primary practice location
3322 Memorial Pkwy SW
Suite 617
Huntsville, AL 35801-5335
Mailing address
3322 Memorial Pkwy SW
Suite 617
Huntsville, AL 35801-5335
Phone (256) 270-9993
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3322 Memorial Pkwy SW
Ste 617
Huntsville, AL 35801
Phone (256) 270-9993
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Huntsville, AL
- NPI 1669623542
-
- Chiropractor
- Huntsville, AL
- NPI 1588752968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296604800000",
"number": "1609172048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3322 MEMORIAL PKWY SW",
"address_2": "SUITE 617",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015335",
"telephone_number": "256-270-9993",
"fax_number": "256-270-9994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3322 MEMORIAL PKWY SW",
"address_2": "SUITE 617",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015335",
"telephone_number": "256-270-9993",
"fax_number": "256-270-9994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEYSTONE CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-02",
"last_updated": "2011-02-02",
"status": "A",
"authorized_official_last_name": "INGRUM",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "256-270-9993",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "2253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.