NPIMap

Individual provider Active NPI

Sean Michael Keefer, D.C.

  • Chiropractor
  • Jacksonville, NC
National Provider Identifier
1760533079
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3668 Issued in NC
Practice address
521 Yopp Rd Ste 107
Jacksonville, NC 28540-3597
Phone
(910) 333-9723
NPI assigned
Jan 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3668 NC Primary

Addresses

Primary practice location

521 Yopp Rd Ste 107
Jacksonville, NC 28540-3597

Mailing address

521 Yopp Rd
Ste 214 PMB 308
Jacksonville, NC 28540
Phone (910) 333-9723

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Keefer Chiropractic Center, a Professional Corporation Chiropractor CurrentSince Apr 8, 2011 Accepting new patients
Sprague, PLLC Chiropractor Past Accepting new patients
Onslow Spine & Rehabilitation Center, PA Chiropractor Past Accepting new patients
Schilsky Chiropractic Center PA Chiropractor Past Accepting new patients

Locations

521 Yopp Rd
Ste 107
Jacksonville, NC 28540
Phone (910) 333-9723

521 Yopp Rd
Ste 214
Jacksonville, NC 28540
Phone (910) 333-9723

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1760533079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 YOPP RD",
            "address_2": "STE 214 PMB 308",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28540",
            "telephone_number": "910-333-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 YOPP RD STE 107",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285403597",
            "telephone_number": "910-333-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEFER",
        "first_name": "SEAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.