Keith Adam Alexander, DC, DCBCN

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

4717-12 Issued in WI

Practice address

2717 18TH St Ste 100
Kenosha, WI 53140-4666

Phone

(262) 484-4165

Fax

(262) 484-4326

NPI assigned

May 21, 2007

Last updated

Jun 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1994

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Alexander Chiropractic Neurology Center, LLC

  • Neurology Chiropractor
  • Kenosha, WI
  • NPI 1255677340
  Medicare reassignment NPD Authorized official
• Chiropractic Associatess of Kenosha a S C

  • Clinic/Center
  • Kenosha, WI
  • NPI 1699079079
  NPD (past)
• Jeranek Family Chiropractic, LLC

  • Chiropractor
  • Kenosha, WI
  • NPI 1376256073
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1780893628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 18TH ST STE 100",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531404666",
            "telephone_number": "262-484-4165",
            "fax_number": "262-484-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 18TH ST STE 100",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531404666",
            "telephone_number": "262-484-4165",
            "fax_number": "262-484-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "KEITH",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DC,  DCBCN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "VA",
            "license": "0104001349",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "IL",
            "license": "038.012332",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "WI",
            "license": "4717-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Beth Albert, APN/CNP
• Michael Anthony Albert, LCPC
• Gwen Kay Alderks, CPM, LM
• Nicholas Michael Alessi, NP
• Alexander Chiropractic Neurology Center, LLC
• Robert Charles Alexander, OTR
• Alf Medical LLC
• Ahamed Ali, LPN
• Allergy & Asthma Clinic of Kenosha SC
• Jessica M Alles, FNP

• Neurology Chiropractor in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Neurology Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.