Organization Active NPI

Key Chiropractic P.a.

  • Chiropractor
  • Port Saint Lucie, FL
National Provider Identifier
1730576471
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11246 Issued in FL
Legal business name
KEY CHIROPRACTIC P.A.
Practice address
12131 SW Oakwater CT
Port Saint Lucie, FL 34987-2702
Phone
(678) 207-7829
NPI assigned
Apr 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Authorized official

Name
Dr. Jared Matthew Key, D.C.NPI 1306941059
Title
President/Owner
Phone
(678) 207-7829

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH11246 FL Primary

Addresses

Primary practice location

12131 SW Oakwater CT
Port Saint Lucie, FL 34987-2702

Mailing address

12131 SW Oakwater CT
Port Saint Lucie, FL 34987-2702
Phone (678) 207-7829

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160107000919 FL Part B Supplier - Clinic/Group Practice 9234442658 Receives reassigned benefits from 1 practitioner
Practice locations: Port St Lucie, FL

National Provider Directory

National Provider Directory

Locations

1383 SW Gatlin Blvd
Port St Lucie, FL 34953
Phone (772) 249-0421

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1730576471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12131 SW OAKWATER CT",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349872702",
            "telephone_number": "678-207-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12131 SW OAKWATER CT",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349872702",
            "telephone_number": "678-207-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY CHIROPRACTIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "KEY",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "678-207-7829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.