Active NPI
Keith C Ford, D.C.
- Chiropractor
- Minden, NV
National Provider Identifier
1669655973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- NV B-321
- Practice address
- 1701 County Rd
Ste. L
Minden, NV 89423-4464 - Phone
- (775) 782-1000
- NPI assigned
- Dec 10, 2007
- Last updated
- Dec 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | NV B-321 | NV | Primary |
Addresses
Primary practice location
1701 County Rd
Ste. L
Minden, NV 89423-4464
Mailing address
1701 County Rd
Ste. L
Minden, NV 89423-4464
Phone (775) 782-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| USA277820 | Other | BLUE CROSS/BLUE SHIELD | |
| 003603004 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120206000537 | NV | Practitioner - Chiropractic | 7719144567 | Practice locations: Minden, NV |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1701 County Rd
Suite L
Minden, NV 89423-4465
Phone (775) 782-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NV B-321 | NV | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197244800000",
"number": "1669655973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 COUNTY RD",
"address_2": "STE. L",
"city": "MINDEN",
"state": "NV",
"postal_code": "894234464",
"telephone_number": "775-782-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 COUNTY RD",
"address_2": "STE. L",
"city": "MINDEN",
"state": "NV",
"postal_code": "894234464",
"telephone_number": "775-782-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "KEITH",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-10",
"last_updated": "2007-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NV",
"license": "NV B-321",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "USA277820",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003603004",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minden, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.