Individual provider Active NPI

Courtland D Keith, D.C.

  • Sports Physician Chiropractor
  • Bakersfield, CA
National Provider Identifier
1922033216
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
25723 Issued in CA
Practice address
7800 Meany Ave Ste B
Bakersfield, CA 93308
Phone
(661) 679-7902
Fax
(661) 829-0608
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 25723 CA Primary

Addresses

Primary practice location

7800 Meany Ave Ste B
Bakersfield, CA 93308

Mailing address

7800 Meany Ave Ste B
Bakersfield, CA 93308-5014
Phone (661) 679-7902

Other practice location 1

1601 New Stine Rd Ste 195
Bakersfield, CA 93309-3699
Phone (661) 397-3179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald Wedemeyer Professional Chiropractic Corporation CurrentSince Sep 1, 2019 Accepting new patients

Locations

7800 Meany Ave
Ste B
Bakersfield, CA 93308
Phone (661) 679-7902

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1922033216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 MEANY AVE STE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933085014",
            "telephone_number": "661-679-7902",
            "fax_number": "661-397-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 MEANY AVE STE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93308",
            "telephone_number": "661-679-7902",
            "fax_number": "661-829-0608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 New Stine Rd Ste 195",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933093699",
            "country_code": "US",
            "telephone_number": "661-397-3179",
            "fax_number": "661-397-6644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEITH",
        "first_name": "COURTLAND",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "25723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.