Jeremy Keene, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557065 Issued in VA

Practice address

301 W Main St
Bedford, VA 24523-1902

Phone

(540) 586-1105

NPI assigned

May 21, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tuck Chiropractic CorporationGroup PAC ID 0547222739, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tuck Chiropractic Corporation

  dba Tuck Chiropractic Clinic

  • Chiropractor
  • Blacksburg, VA
  • NPI 1003987769
  Medicare reassignment Care Compare group NPD
• Tuck Chiropractic Corporation

  dba Tuck WorkWell

  • Family Medicine Physician
  • Roanoke, VA
  • NPI 1578155610
  NPD (past)

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1609212315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S MAIN ST",
            "address_2": "STE 5",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606628",
            "telephone_number": "540-951-6900",
            "fax_number": "540-951-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W MAIN ST",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245231902",
            "telephone_number": "540-586-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENE",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-21",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnson Health Center (Bedford Community Health Center Pharmacy)
• Johnson Health Center (Bedford Community Health Center)
• Johnson Health Center (Bedford Community Dental Center)
• Stephen M Johnson, M.D.
• Annmarie Jones, NP
• Sloane Kelly, PA
• Kennedy's Miracle Carriage, LLC KMC
• Kennedy's Miracle Carriage, LLC KMC
• Jennifer Ann Kelley Kessler, LPC
• Samantha Krackow

• Chiropractor in Bedford, VA
• Providers in Bedford, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.