Organization Active NPI

Jeffrey J Keon & Dina J Keon, a Chiropractic Corporation

  • Clinic/Center
  • Sacramento, CA
National Provider Identifier
1902199177
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
DC25579 Issued in CA
Legal business name
JEFFREY J KEON & DINA J KEON, A CHIROPRACTIC CORPORATION
Practice address
2025 Hurley Way Ste 110
Sacramento, CA 95825-3225
Phone
(916) 487-3008
Fax
(916) 487-1197
NPI assigned
May 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Authorized official

Name
Dr. Jeffrey Keon, D.C.NPI 1336223213
Title
President
Phone
(916) 487-3008

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
Clinic/Center 261Q00000X DC25579 CA Primary

Addresses

Primary practice location

2025 Hurley Way Ste 110
Sacramento, CA 95825-3225

Mailing address

1260 Fulton Ave Ste a
Sacramento, CA 95825-7396
Phone (916) 487-3008

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111116000894 CA Part B Supplier - Clinic/Group Practice 7719151323 Receives reassigned benefits from 1 practitioner
Practice locations: Sacramento, CA

National Provider Directory

National Provider Directory

Locations

2025 Hurley Way
Ste 110
Sacramento, CA 95825
Phone (916) 487-3007

1260 Fulton Ave
Ste A
Sacramento, CA 95825
Phone (916) 487-3007

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": "1305849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574380800000",
    "number": "1902199177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 FULTON AVE STE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958257396",
            "telephone_number": "916-487-3008",
            "fax_number": "916-487-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 HURLEY WAY STE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253225",
            "telephone_number": "916-487-3008",
            "fax_number": "916-487-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY J KEON & DINA J KEON, A CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-20",
        "last_updated": "2019-11-22",
        "status": "A",
        "authorized_official_last_name": "KEON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-487-3008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "DC25579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.