Individual provider Active NPI

Amanda Keppel, DC

  • Chiropractor
  • Wayne, PA
National Provider Identifier
1922747591
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011852 Issued in PA
Practice address
992 Old Eagle School Rd Ste 902
Wayne, PA 19087-1803
Phone
(610) 337-7463
NPI assigned
Jun 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15198 TX
Chiropractor 111N00000X DC011852 PA Primary

Addresses

Primary practice location

992 Old Eagle School Rd Ste 902
Wayne, PA 19087-1803

Mailing address

348 Northcroft Rd
Springfield, PA 19064-1316
Phone (484) 802-4303

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230711000582 PA Practitioner - Chiropractic 8628452513 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
King of Prussia Family Wellness Center, PC Chiropractor CurrentSince Jun 27, 2023 Accepting new patients
Core Chiropractic Memorial City LLC Chiropractor CurrentSince Dec 21, 2025 Accepting new patients

Locations

992 Old Eagle School Rd
Ste 902
Wayne, PA 19087
Phone (610) 337-7463

1770 Saint James Pl
Ste 210
Houston, TX 77056
Phone (713) 622-3300

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1922747591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 NORTHCROFT RD",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190641316",
            "telephone_number": "484-802-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "992 OLD EAGLE SCHOOL RD STE 902",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871803",
            "telephone_number": "610-337-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPPEL",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15198",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.