Ketz Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIC356 Issued in AK

Legal business name

KETZ CHIROPRACTIC LLC

Practice address

5905 Lake Otis Pkwy Ste B
Anchorage, AK 99507-1700

Phone

(907) 562-5500

NPI assigned

Aug 28, 2018

Organization subpart

No

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

Authorized official

Name

Kelly Ketz, DCNPI 1164564415

Title

Owner

Phone

(907) 562-5500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Practitioners 1

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

• Kelly Lee Ketz, D.C.

  • Chiropractor
  • Anchorage, AK
  • NPI 1164564415
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1871074773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 LAKE OTIS PKWY STE B",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071700",
            "telephone_number": "907-562-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 LAKE OTIS PKWY STE B",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071700",
            "telephone_number": "907-562-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETZ CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "KETZ",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-562-5500",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "CHIC356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Ketah, MS, CDC1
• Katy Violet Ketchum Smith, M.S.C.P.
• Linden Jane Ketchum, BA
• Corey Kettering
• Ashley Kettler, O.D.
• Kelly Lee Ketz, D.C.
• Kevin M Easley DMD PC
• Kevin M Tomera MD Inc
• Keystone Chiropractic PC
• Galimat Khaidakova, MD

• Chiropractor in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Chiropractor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.