Organization Active NPI

Keats Family & Sports Chiropractic

  • Sports Physician Chiropractor
  • Blacksburg, VA
National Provider Identifier
1629676549
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
Legal business name
KEATS FAMILY & SPORTS CHIROPRACTIC
Practice address
1999 S Main St Ste 303
Blacksburg, VA 24060-6601
Phone
(540) 739-3833
NPI assigned
Oct 13, 2020
Last updated
Oct 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Authorized official

Name
Jacqueline Jack, DC
Title
Sole Owner
Phone
(540) 230-2554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X NU Primary

Addresses

Primary practice location

1999 S Main St Ste 303
Blacksburg, VA 24060-6601

Mailing address

1999 S Main St Ste 303
Blacksburg, VA 24060-6601
Phone (540) 739-3833

National Provider Directory

National Provider Directory

Locations

1999 S Main St
Ste 303
Blacksburg, VA 24060
Phone (540) 486-5375

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1629676549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 S MAIN ST STE 303",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606601",
            "telephone_number": "540-739-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 S MAIN ST STE 303",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606601",
            "telephone_number": "540-739-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEATS FAMILY & SPORTS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "JACK",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "540-230-2554",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.