Keystone Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3918 Issued in OK

Legal business name

KEYSTONE CHIROPRACTIC, LLC

Practice address

4835 S Fulton Ave Ste 103
Tulsa, OK 74135-6976

Phone

(918) 663-6045

Fax

(918) 749-6577

NPI assigned

May 31, 2016

Last updated

May 31, 2016By 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. Jared Bennett, DCNPI 1760620371

Title

Owner

Phone

(918) 663-6045

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 2

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.

• Jared John Bennett, D.C.

  • Chiropractor
  • Oklahoma City, OK
  • NPI 1760620371
  Medicare reassignment Authorized official
• Barry Gardner, DC

  • Chiropractor
  • Tulsa, OK
  • NPI 1376554782
  NPD (past)

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1730537747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 S FULTON AVE STE 103",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356976",
            "telephone_number": "918-663-6045",
            "fax_number": "918-749-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 S FULTON AVE STE 103",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356976",
            "telephone_number": "918-663-6045",
            "fax_number": "918-749-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-663-6045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Joy Keylada, APRN
• Hany Heshmat Keylada, MD
• Nemarca J Keys
• Valorie L Keys, BCMHC, BCYMHC
• Vickie L Keys, CERTIFIED PRSS
• Keystone Counseling and Therapeutic Services LLC
• Sarah Elizabeth Keywood, LMSW
• Ngin Za Khai
• Samuel Pausian Khai
• Zam Khai

• Chiropractor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.