Active NPI
Keats Family & Sports Chiropractic
- Sports Physician Chiropractor
- Blacksburg, VA
National Provider Identifier
1629676549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Sports Physician Chiropractor
- Blacksburg, VA
- NPI 1316957855
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.