Organization Active NPI

Keenan Chiropractic PA

  • Chiropractor
  • Bonita Springs, FL
National Provider Identifier
1902116718
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8224 Issued in FL
Legal business name
KEENAN CHIROPRACTIC PA
Practice address
3388 Woods Edge Circle Suite 102
Bonita Springs, FL 34134
Phone
(239) 949-0220
Fax
(239) 949-0244
NPI assigned
Oct 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Dr. Michael Keenan, DC
Title
President
Phone
(239) 949-0220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8224 FL Primary

Addresses

Primary practice location

3388 Woods Edge Circle Suite 102
Bonita Springs, FL 34134

Mailing address

3388 Woods Edge Circle Suite 102
Bonita Springs, FL 34134
Phone (239) 949-0220

National Provider Directory

National Provider Directory

Locations

3388 Woods Edge Cir
Ste 102
Bonita Springs, FL 34134
Phone (239) 949-0220

3384 Woods Edge Cir
Ste 102
Bonita Springs, FL 34134
Phone (239) 949-0220

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1902116718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3388 WOODS EDGE CIRCLE SUITE 102",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "34134",
            "telephone_number": "239-949-0220",
            "fax_number": "239-949-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3388 WOODS EDGE CIRCLE SUITE 102",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "34134",
            "telephone_number": "239-949-0220",
            "fax_number": "239-949-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEENAN CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "KEENAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-949-0220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.