Active NPI
Charles Joseph Keller, DC
- Chiropractor
- Yonkers, NY
National Provider Identifier
1609910850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 183 DCH
- Practice address
- 928 McLean Ave
Yonkers, NY 10704-4103 - Phone
- (914) 237-2434
- Fax
- (914) 237-2677
- NPI assigned
- Feb 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 183 DCH | NY | Primary |
Addresses
Primary practice location
928 McLean Ave
Yonkers, NY 10704-4103
Mailing address
928 McLean Ave
Yonkers, NY 10704-4103
Phone (914) 237-2434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183 DCH | Other | NY | LICENSE NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 183 DCH | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609910850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "928 MCLEAN AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107044103",
"telephone_number": "914-237-2434",
"fax_number": "914-237-2677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 MCLEAN AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107044103",
"telephone_number": "914-237-2434",
"fax_number": "914-237-2677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "CHARLES",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "183 DCH",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "183 DCH",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.