Keystone Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9215 Issued in FL

Legal business name

KEYSTONE CHIROPRACTIC INC

Practice address

330A S Lawrence Blvd
Keystone Heights, FL 32656-9219

Phone

(352) 473-9777

Fax

(352) 473-9777

NPI assigned

Mar 6, 2009

Last updated

Mar 6, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jinnifer Melissa Stephan, D.C.NPI 1053335448

Title

Physician/Owner

Phone

(352) 473-9777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jinnifer Melissa Stephan, D.C.

  • Chiropractor
  • Keystone Heights, FL
  • NPI 1053335448
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1720228539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330A S LAWRENCE BLVD",
            "city": "KEYSTONE HEIGHTS",
            "state": "FL",
            "postal_code": "326569219",
            "telephone_number": "352-473-9777",
            "fax_number": "352-473-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330A S LAWRENCE BLVD",
            "city": "KEYSTONE HEIGHTS",
            "state": "FL",
            "postal_code": "326569219",
            "telephone_number": "352-473-9777",
            "fax_number": "352-473-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "STEPHAN",
        "authorized_official_first_name": "JINNIFER",
        "authorized_official_middle_name": "MELISSA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "352-473-9777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Ashlee Hughes, DPT
• David H Jarosz, ARNP
• Jax Bax, LLC
• Arielle Jeffers
• John W Faul, DMD, PA
• Keystone Psychiatry Inc
• Betty J Krause, ARNP
• Lake Area Physical Therapy
• Legacy Home Health Care
• Legacy Home Health Care Inc. (Legacy Outpatient Therapy)

• Chiropractor in Keystone Heights, FL
• Providers in Keystone Heights, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.