Active NPI
David Keller, B.I.S., D.C.
- Chiropractor
- Meridian, ID
National Provider Identifier
1790405868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA-2297
- Practice address
- 5956 N. Linder Rd.
Suite 120
Meridian, ID 83646 - Phone
- (815) 977-1931
- NPI assigned
- Aug 30, 2022
- Sex
- Male
- Sole proprietor
- No
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 | CHIA-2297 | ID | Primary |
Addresses
Primary practice location
5956 N. Linder Rd.
Suite 120
Meridian, ID 83646
Mailing address
5956 N. Linder Rd.
Suite 120
Meridian, ID 83646
Phone (815) 977-1931
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5956 N Linder Rd
Suite 120
Meridian, ID 83646-5108
Phone (806) 549-1515
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA-2297 | ID | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 100 Chiro Keller, PLLC. | Chiropractor | Current | Accepting new patients |
Locations
5956 N Linder Rd
Ste 120
Meridian, ID 83646
Phone (815) 977-1931
Organizations & group practices 1
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": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1790405868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5956 N. LINDER RD.",
"address_2": "SUITE 120",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "83646",
"telephone_number": "815-977-1931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5956 N. LINDER RD.",
"address_2": "SUITE 120",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "83646",
"telephone_number": "815-977-1931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "B.I.S., D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-30",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA-2297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.