Keller Healing & Physical Medicine, P.a.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

KELLER HEALING & PHYSICAL MEDICINE, P.A.

Practice address

804 Keller Pkwy
Keller, TX 76248

Phone

(316) 882-5353

NPI assigned

Oct 3, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Dale Warren, DCNPI 1386732337

Title

Authorized Official

Phone

(316) 882-5353

Specialties & licenses 1

Addresses

Practitioners 1

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

• Timothy Dale Warren, D.C.

  • Chiropractor
  • Wichita, KS
  • NPI 1386732337
  NPD (past) Authorized official

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506988800000",
    "number": "1922518042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 KELLER PKWY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 KELLER PKWY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "76248",
            "telephone_number": "316-882-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLER HEALING & PHYSICAL MEDICINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-03",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "316-882-5353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keller Family Chiropractic P.C.
• Keller Family Dental PLLC
• Keller Family Dentistry, Sleep & Facial Pain PLLC
• Keller Family Medical Center, PLLC
• Keller Foot and Ankle Associates, P.a.
• Keller Isd
• Keller Parkway Dental PA
• Keller Parkway Family Dental, PLLC
• Keller Pediatric Dentistry
• Keller Smiles LLC

• Multi-Specialty Clinic/Center in Keller, TX
• Providers in Keller, TX by specialty
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; 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.