George Peter Keogh, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00033867 Issued in WA

Practice address

3901 6TH Ave
Tacoma, WA 98406-4940

Phone

(253) 756-7500

Fax

(253) 756-7501

NPI assigned

Nov 8, 2006

Last updated

Oct 29, 2012By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Group practices

Proctor Chiropractic Inc PSGroup PAC ID 7618062365, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Proctor Chiropractic Inc. PS

  dba Proctor Chiropractic

  • Chiropractor
  • Tacoma, WA
  • NPI 1669517553
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1619047685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 6TH AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984064940",
            "telephone_number": "253-756-7500",
            "fax_number": "253-756-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 6TH AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984064940",
            "telephone_number": "253-756-7500",
            "fax_number": "253-756-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEOGH",
        "first_name": "GEORGE",
        "middle_name": "PETER",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2029163",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kamilah Kent, PT
• Kaylee Kent
• Michelle Lynn Kent, ND
• Tylene Kenyon
• Sokha Keo
• Becky Keomany
• Karissa Kephart
• Priscilla Londahl Kepler, ARNP
• William Charles Keppler III, M.D.
• Caitlin Amanda Keptner, LCSW

• Chiropractor in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.