Organization Active NPI

Kees Chiropractic LLC

  • Chiropractor
  • Fort Atkinson, WI
National Provider Identifier
1780060301
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KEES CHIROPRACTIC LLC
Practice address
113 Sherman Ave W
Fort Atkinson, WI 53538-1732
Phone
(920) 563-2281
Fax
(920) 563-2378
NPI assigned
Aug 5, 2015
Last updated
Aug 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Authorized official

Name
Bradley L Keys, DC
Title
President
Phone
(920) 563-2281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

113 Sherman Ave W
Fort Atkinson, WI 53538-1732

Mailing address

113 Sherman Ave W
Fort Atkinson, WI 53538-1732
Phone (920) 563-2281

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150827003242 WI Part B Supplier - Clinic/Group Practice 1951617513 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Atkinson, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1780060301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SHERMAN AVE W",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381732",
            "telephone_number": "920-563-2281",
            "fax_number": "920-563-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SHERMAN AVE W",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381732",
            "telephone_number": "920-563-2281",
            "fax_number": "920-563-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEES CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "KEYS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-563-2281",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Atkinson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.