Active NPI
Ross Christopher Keys, DC
- Chiropractor
- Bend, OR
National Provider Identifier
1659480267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3545
- Practice address
- 1288 SW Simpson Ave
Suite K
Bend, OR 97702-3195 - Phone
- (541) 617-9969
- Fax
- (541) 617-9890
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3545 | OR | Primary |
Addresses
Primary practice location
1288 SW Simpson Ave
Suite K
Bend, OR 97702-3195
Mailing address
1288 SW Simpson Ave
Suite K
Bend, OR 97702-3195
Phone (541) 617-9969
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J3403-01 | Other | OR | PACIFIC SOURCE - CHIRO |
| P00307145 | Other | OR | PALMETO - GBA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257120000000",
"number": "1659480267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1288 SW SIMPSON AVE",
"address_2": "SUITE K",
"city": "BEND",
"state": "OR",
"postal_code": "977023195",
"telephone_number": "541-617-9969",
"fax_number": "541-617-9890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1288 SW SIMPSON AVE",
"address_2": "SUITE K",
"city": "BEND",
"state": "OR",
"postal_code": "977023195",
"telephone_number": "541-617-9969",
"fax_number": "541-617-9890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEYS",
"first_name": "ROSS",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2009-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "3545",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFIC SOURCE - CHIRO",
"identifier": "J3403-01",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETO - GBA",
"identifier": "P00307145",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.