Alec Kebrdle, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08003480A Issued in IN

Practice address

1060 N Capitol Ave Ste A265
Indianapolis, IN 46204-1044

Phone

(317) 967-0440

NPI assigned

Jan 11, 2023

Last updated

Jan 10, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mawn Chiropractic PA

  dba The Source Chiropractic

  • Chiropractor
  • St Petersburg, FL
  • NPI 1306418678
  NPD (past)

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1851005151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 N CAPITOL AVE STE A-265",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041044",
            "telephone_number": "317-967-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 N CAPITOL AVE STE A265",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041044",
            "telephone_number": "317-967-0440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "424 Skinner Blvd Apt D",
            "address_purpose": "LOCATION",
            "city": "Dunedin",
            "state": "FL",
            "postal_code": "346984995",
            "country_code": "US",
            "telephone_number": "727-330-6718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1060 N Capitol Ave Ste A265",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462041044",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEBRDLE",
        "first_name": "ALEC",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-11",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "14352",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003480A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katharine Keating, PA-C
• Vincent P Keating, M.D.
• Betty J. Keaton, BSN, RN., CRNA
• Victoria Alexandria Keaton, PH.D
• Ann Marie Kebede
• Amber Denise Keck
• Bradley Neil Keck, PT
• Julie K Keck, MD
• Paul Keck, LCSW
• Mahmood Kedo, MD

• Chiropractor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.