Keenan D Thomas, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2021050660 Issued in MO

Practice address

225 E Dunklin St
Jefferson City, MO 65101-3126

Phone

(573) 635-2273

NPI assigned

Jan 12, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Restoration Chiropractic LLCGroup PAC ID 6204123334, 3 clinicians

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 and National Provider Directory roles.

• Restoration Chiropractic LLC

  • Chiropractor
  • Columbia, MO
  • NPI 1043662570
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1831840800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E DUNKLIN ST",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651013126",
            "telephone_number": "573-635-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E DUNKLIN ST",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651013126",
            "telephone_number": "573-635-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KEENAN",
        "middle_name": "D",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2021050660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darryl John Thomas, DC
• Gabriella Thomas
• Jason Thomas, RNFA
• Jennifer Rae Shearin Thomas, LMSW
• Kailey Dawn Thomas, LMSW
• Lindsay Lindley Thomas, PLPC
• Sarah E Thomas, MHS, CCC-SLP AN MED
• Shelby Anne Thomas, DNP, APRN, FNP-BC
• Sophia Jolynn Thomas
• Sylvia Grace Thomas, ANP

• Chiropractor in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.

Verify at the official NPI Registry.