Organization Active NPI

B Kean Chiro PLLC

  • Chiropractor
  • Greenville, NC
National Provider Identifier
1639187388
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2609 Issued in NC
Legal business name
B KEAN CHIRO PLLC
Practice address
504C Red Banks Rd
Greenville, NC 27858-5725
Phone
(252) 321-3579
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brian Michael Kean, D.C.
Title
Doctor of Chiropractic/Owner
Phone
(252) 321-3579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2609 NC Primary

Addresses

Primary practice location

504C Red Banks Rd
Greenville, NC 27858-5725

Mailing address

504C Red Banks Rd
Greenville, NC 27858-5725
Phone (252) 321-3579

Other identifiers 2

IdentifierTypeStateIssuer
890835LMedicaidNC
017AWOtherNCBCBC PROVIDER NUMBER

Other names 1

  • Kean Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639187388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504C RED BANKS RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585725",
            "telephone_number": "252-321-3579",
            "fax_number": "252-321-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504C RED BANKS RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585725",
            "telephone_number": "252-321-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B KEAN CHIRO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC/OWNER",
        "authorized_official_telephone_number": "252-321-3579",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890835L",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBC PROVIDER NUMBER",
            "identifier": "017AW",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kean Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.