Nicolas L Kellerman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12406 Issued in TX

Practice address

4010 Sandy Brook Dr.
103
Round Rock, TX 78665

Phone

(512) 258-9355

Fax

(512) 236-5238

NPI assigned

Nov 1, 2006

Last updated

Sep 18, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 100 Chiro Corona LLC

  • Chiropractor
  • Austin, TX
  • NPI 1487448189
  Medicare reassignment NPD
• 100 Chiro Coronap PLLC

  • Chiropractor
  • Austin, TX
  • NPI 1689427635
  Medicare reassignment NPD
• Kellerman Chiropractic Center LLC

  • Chiropractor
  • Round Rock, TX
  • NPI 1457708976
  NPD Authorized official
• Harley Chiropractic, LLC

  • Chiropractor
  • Sullivan, IL
  • NPI 1427450220
  NPD (past)
• Murray Chiropractic and Acupuncture, LLC

  • Chiropractor
  • Sullivan, IL
  • NPI 1134561665
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1669559993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 SANDY BROOK DR.",
            "address_2": "103",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78665",
            "telephone_number": "512-258-9355",
            "fax_number": "512-236-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 SANDY BROOK DR.",
            "address_2": "103",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78665",
            "telephone_number": "512-258-9355",
            "fax_number": "512-236-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLERMAN",
        "first_name": "NICOLAS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Chiropractic
• Keith Dennis OD PA (Dr. Keith Dennis and Associates)
• William Chad Keith, DC
• David Earl Kellar, LPC
• Kellerman Chiropractic Center LLC
• Marwa Kelley, MS, LPC
• Herbert Kellins, D.C.
• Charles Kelly
• Daniel Joseph Kelly, M.D.
• Italia Kelly

• Chiropractor in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.