Individual provider Active NPI

John Richard Kehoe, D.C.

  • Chiropractor
  • Carmel, CA
National Provider Identifier
1710070073
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC14110 Issued in CA
Practice address
26555 Carmel Rancho Blvd Ste 2
Carmel, CA 93923-8748
Phone
(831) 625-3338
Fax
(831) 625-5613
NPI assigned
Oct 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC14110 CA Primary

Addresses

Primary practice location

26555 Carmel Rancho Blvd Ste 2
Carmel, CA 93923-8748

Mailing address

26555 Carmel Rancho Blvd Ste 2
Carmel, CA 93923-8748
Phone (831) 625-3338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120326000640 CA Practitioner - Chiropractic 0840450045 Practice locations: Carmel, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

26555 Carmel Rancho Blvd
Suite 2
Carmel, CA 93923-8748
Phone (831) 625-3338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC14110CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226448000000",
    "number": "1710070073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26555 CARMEL RANCHO BLVD STE 2",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238748",
            "telephone_number": "831-625-3338",
            "fax_number": "831-625-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26555 CARMEL RANCHO BLVD STE 2",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238748",
            "telephone_number": "831-625-3338",
            "fax_number": "831-625-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHOE",
        "first_name": "JOHN",
        "middle_name": "RICHARD",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-01",
        "last_updated": "2008-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC14110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.