Keystone Health & Wellness Center Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

KEYSTONE HEALTH & WELLNESS CENTER INC

Practice address

8765 E Orchard Rd Ste 702
Greenwood Village, CO 80111-5009

Phone

(303) 738-0390

Fax

(866) 238-2721

NPI assigned

Sep 17, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Shawn Johonnesson

Title

President

Phone

(303) 709-4805

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Keystone Health & Wellness Center Doing business as

Locations

Practitioners 1

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

• Erica L. Windle, DC

  • Chiropractor
  • Centennial, CO
  • NPI 1801078118
  NPD (past)

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1780086181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8765 E ORCHARD RD STE 702",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801115009",
            "telephone_number": "303-738-0390",
            "fax_number": "866-238-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8765 E ORCHARD RD STE 702",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801115009",
            "telephone_number": "303-738-0390",
            "fax_number": "866-238-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE HEALTH & WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "JOHONNESSON",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-709-4805",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000160975",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keystone Health & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Keystone Health & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Kessell
• Kevin L Evans DDS PC
• Michael Kevlyn, D.D.S.
• Jenny Keyerleber, OTR/L
• Thomas J Keyes, MD
• Farah N Khan, MD
• Misbah Faraz Khan, PT
• Jessica P. Khani
• Kiddos ABA Co LLC
• Tamara Anne Kiekhaefer, LCSW

• Multi-Specialty Clinic/Center in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Multi-Specialty Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.