Organization Active NPI

Eldridge-Keelin Chiropractic

  • Chiropractor
  • Ashland, KY
National Provider Identifier
1821123811
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4794 Issued in KY
Legal business name
ELDRIDGE-KEELIN CHIROPRACTIC
Practice address
1320 Wolohan Dr
Ashland, KY 41102-8940
Phone
(606) 928-3364
Fax
(606) 928-1531
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Alicia Eldridge-Keelin, DCNPI 1699870014
Title
Owner
Phone
60692833364

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4794 KY Primary

Addresses

Primary practice location

1320 Wolohan Dr
Ashland, KY 41102-8940

Mailing address

1320 Wolohan Dr
Ashland, KY 41102-8940
Phone (606) 928-3364

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040804000097 KY Part B Supplier - Clinic/Group Practice 5294706230 Receives reassigned benefits from 1 practitioner
Practice locations: Ashland, KY

National Provider Directory

National Provider Directory
Tax ID family
Eldridge-Keelin Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1324 Cannonsburg Rd
Ashland, KY 41102
Phone (606) 571-2875

7707 US Route 60
Ashland, KY 41102
Phone (606) 928-3364

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1821123811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WOLOHAN DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411028940",
            "telephone_number": "606-928-3364",
            "fax_number": "606-928-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 WOLOHAN DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411028940",
            "telephone_number": "606-928-3364",
            "fax_number": "606-928-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDRIDGE-KEELIN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "ELDRIDGE-KEELIN",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "60692833364",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.