Organization Active NPI

Keystone Chiro Center, LLC

  • Chiropractor
  • Gahanna, OH
National Provider Identifier
1851503122
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3795 Issued in OH
Legal business name
KEYSTONE CHIRO CENTER, LLC
Practice address
1251 N Hamilton Rd
Gahanna, OH 43230-6785
Phone
(614) 475-1900
Fax
(614) 475-1920
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Authorized official

Name
Dr. Nathan Ellis Lorenz, D.C.NPI 1114056678
Title
Member
Phone
(614) 565-5403

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 3795 OH Primary

Addresses

Primary practice location

1251 N Hamilton Rd
Gahanna, OH 43230-6785

Mailing address

1251 N Hamilton Rd
Gahanna, OH 43230-6785
Phone (614) 475-1900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121023000407 OH Part B Supplier - Clinic/Group Practice 5698925907 Receives reassigned benefits from 1 practitioner
Practice locations: Gahanna, OH

National Provider Directory

National Provider Directory

Locations

1251 N Hamilton Rd
Gahanna, OH 43230
Phone (614) 471-7949

Practitioners & affiliated clinicians

Practitioners 2

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": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1851503122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 N HAMILTON RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306785",
            "telephone_number": "614-475-1900",
            "fax_number": "614-475-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 N HAMILTON RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306785",
            "telephone_number": "614-475-1900",
            "fax_number": "614-475-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE CHIRO CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "LORENZ",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "ELLIS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "614-565-5403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.