Individual provider Active NPI

Keisha Kane, DC

  • Chiropractor
  • MC Lean, VA
National Provider Identifier
1801682190
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104558079 Issued in VA
Practice address
1760 Old Meadow Rd Ste 500
MC Lean, VA 22102-4306
Phone
(703) 437-8195
Fax
(703) 437-2404
NPI assigned
Apr 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104558079 VA Primary

Addresses

Primary practice location

1760 Old Meadow Rd Ste 500
MC Lean, VA 22102-4306

Mailing address

1886 Metro Center Dr Ste 100
Reston, VA 20190-5289
Phone (540) 409-1887

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250515002162 DC Practitioner - Chiropractic 2668990474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Wellness Center and Sports Rehab FC LLCGroup PAC ID 5294015277, 3 clinicians

Practice addresses (Care Compare)

1760 Old Meadow Rd
Suite 500
MC Lean, VA 22102-4306
Phone (703) 437-8195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
United Wellness Center and Sports Rehab FC LLC CurrentSince May 1, 2025 Accepting new patients
United Chiropractic Center CurrentSince Apr 20, 2025 Accepting new patients

Locations

510 W Annandale Rd
Ste 300
Falls Church, VA 22046
Phone (703) 600-8208

1760 Old Meadow Rd
Ste 500
McLean, VA 22102
Phone (703) 437-8195

1886 Metro Center Dr
Ste 100
Reston, VA 20190
Phone (703) 437-8195

Organizations & group practices 2

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": "1744675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1801682190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1886 METRO CENTER DR STE 100",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905289",
            "telephone_number": "540-409-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 OLD MEADOW RD STE 500",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024306",
            "telephone_number": "703-437-8195",
            "fax_number": "703-437-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "KEISHA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104558079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.