K Thomas Keller DC SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1669 012 Issued in WI

Legal business name

K THOMAS KELLER DC SC

Doing business as

Keller Chiropractic Office

Practice address

4060 N Main St
Racine, WI 53402-3121

Phone

(262) 639-2210

Fax

(262) 639-4495

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Karl Thomas Keller, DCNPI 1962515999

Title

President

Phone

(262) 639-2210

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Keller Chiropractic Office Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

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.

• Karl Thomas Keller, DC

  • Chiropractor
  • Racine, WI
  • NPI 1962515999
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881752202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 N MAIN ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534023121",
            "telephone_number": "262-639-2210",
            "fax_number": "262-639-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 N MAIN ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534023121",
            "telephone_number": "262-639-2210",
            "fax_number": "262-639-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K THOMAS KELLER DC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-639-2210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1669 012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDVIDIUAL NPI",
            "identifier": "1962515999",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keller Chiropractic Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nicholas Juleen, DVM
• K & S Medical Transport Inc.
• Terri Kading-Wheeler, LCSW
• Augustine Kalemeera, PHD
• Kathryn Kalinosky, OTR
• Michelle Kaminskis, RPH
• Jill Kamm

• Chiropractor in Racine, WI
• Providers in Racine, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.