Individual provider Active NPI

Stafford Virgil Keels, D.C.

  • Chiropractor
  • Washington, DC
National Provider Identifier
1619008422
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH030047 Issued in DC
Practice address
600 Pennsylvania Ave SE
Suite 100
Washington, DC 20003-4316
Phone
(202) 544-0577
Fax
(202) 544-0578
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH030047 DC Primary

Addresses

Primary practice location

600 Pennsylvania Ave SE
Suite 100
Washington, DC 20003-4316

Mailing address

4 Bayswater Rd
13 Kings Rd
Quinby, SC 29506-7400

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH030047DCMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619008422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BAYSWATER RD",
            "address_2": "13 KINGS RD",
            "city": "QUINBY",
            "state": "SC",
            "postal_code": "295067400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PENNSYLVANIA AVE SE",
            "address_2": "SUITE 100",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034316",
            "telephone_number": "202-544-0577",
            "fax_number": "202-544-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELS",
        "first_name": "STAFFORD",
        "middle_name": "VIRGIL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DC",
            "license": "CH030047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

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.

Verify at the official NPI Registry.