Organization Active NPI

Keim Chiropractic LLC

  • Chiropractor
  • Goshen, IN
National Provider Identifier
1619307428
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002671A Issued in IN
Legal business name
KEIM CHIROPRACTIC LLC
Practice address
2424 Peddlers Village Rd
Goshen, IN 46528-5778
Phone
(574) 533-0815
NPI assigned
Nov 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Authorized official

Name
Megan Keim, DCNPI 1639414642
Title
President
Phone
(574) 533-0815

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08002671A IN Primary

Addresses

Primary practice location

2424 Peddlers Village Rd
Goshen, IN 46528-5778

Mailing address

2424 Peddlers Village Rd
Goshen, IN 46528-5778
Phone (574) 533-0815

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140211000808 IN Part B Supplier - Clinic/Group Practice 8325277510 Receives reassigned benefits from 1 practitioner
Practice locations: Goshen, IN

National Provider Directory

National Provider Directory

Locations

2424 Peddlers Village Rd
Goshen, IN 46528
Phone (574) 533-0815

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1619307428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 PEDDLERS VILLAGE RD",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465285778",
            "telephone_number": "574-533-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 PEDDLERS VILLAGE RD",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465285778",
            "telephone_number": "574-533-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEIM CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "KEIM",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-533-0815",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002671A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.