Individual provider Active NPI

Adam John Keefe, D.C.

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1609839489
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104555963 Issued in VA
Practice address
1920 Centerville Tpke
Ste. 95
Virginia Beach, VA 23464-6800
Phone
(757) 479-0626
Fax
(757) 479-8855
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104555963 VA Primary

Addresses

Primary practice location

1920 Centerville Tpke
Ste. 95
Virginia Beach, VA 23464-6800

Mailing address

1920 Centerville Tpke
Ste. 95
Virginia Beach, VA 23464-6800
Phone (757) 479-0626

Other identifiers 2

IdentifierTypeStateIssuer
06-1649498OtherVATAX ID
288958OtherVAANTHEM/BCBS PROV. #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120206000904 VA Practitioner - Chiropractic 0648456079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Chiropractic and Acupuncture, P.C.Group PAC ID 3476739806, 2 clinicians

Practice addresses (Care Compare)

5800 High St W
Portsmouth, VA 23703-4504
Phone (757) 686-3716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic & Acupuncture, P.C. Chiropractor CurrentSince Oct 23, 2002 Accepting new patients

Locations

3105 Western Branch Blvd
Ste 4
Chesapeake, VA 23321
Phone (757) 686-3716

5800 High St W
Portsmouth, VA 23703
Phone (757) 686-3716

1920 Centerville Tpke
Ste 95
Virginia Beach, VA 23464
Phone (757) 351-3778

Organizations & group practices 1

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1609839489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 CENTERVILLE TPKE",
            "address_2": "STE. 95",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646800",
            "telephone_number": "757-479-0626",
            "fax_number": "757-479-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 CENTERVILLE TPKE",
            "address_2": "STE. 95",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646800",
            "telephone_number": "757-479-0626",
            "fax_number": "757-479-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEFE",
        "first_name": "ADAM",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "06-1649498",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/BCBS PROV. #",
            "identifier": "288958",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.