Keith Nelson, D.C.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

X2809 Issued in NY

Practice address

58 Broadway
Greenlawn, NY 11740-1303

Phone

(631) 754-1666

Fax

(631) 754-1676

NPI assigned

Nov 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942375282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 BROADWAY",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117401303",
            "telephone_number": "631-754-1666",
            "fax_number": "631-754-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 BROADWAY",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117401303",
            "telephone_number": "631-754-1666",
            "fax_number": "631-754-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KEITH",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "NY",
            "license": "X2809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• North Shore Medical Group of the Mount Sinai School of Medicine (Mount Sinai Doctors Long Island)
• North Shore Tbi Services, Inc.
• David Nussbaum
• Alexander O'Connell, MD
• Kensy Orcel

• Orthopedic Chiropractor in Greenlawn, NY
• Providers in Greenlawn, NY by specialty
• Orthopedic Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.