Active NPI
Mary Jeanette Kehoe, D.C.
- Chiropractor
- Lakewood, CO
National Provider Identifier
1750616793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3393
- Practice address
- 200 Union Blvd Ste 221
Lakewood, CO 80228-1831 - Phone
- (303) 913-3162
- NPI assigned
- Oct 8, 2009
- Last updated
- Oct 8, 2009
- Sex
- Female
- 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 | 3393 | CO | Primary |
Addresses
Primary practice location
200 Union Blvd Ste 221
Lakewood, CO 80228-1831
Mailing address
200 Union Blvd Ste 221
Lakewood, CO 80228-1831
Phone (303) 913-3162
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3393 | CO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254960000000",
"number": "1750616793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 UNION BLVD STE 221",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802281831",
"telephone_number": "303-913-3162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 UNION BLVD STE 221",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802281831",
"telephone_number": "303-913-3162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEHOE",
"first_name": "MARY",
"middle_name": "JEANETTE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-08",
"last_updated": "2009-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "3393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.