Alan Dale Keithley, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1043 Issued in MT

Practice address

715 Kensington Ste 24a
Missoula, MT 59801-5700

Phone

(406) 541-9150

Fax

(406) 830-3857

NPI assigned

Dec 7, 2007

Last updated

May 23, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Hospice/Palliative Care, Pain Management

Education

Northwestern College of Chiropractic, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cornerstone Chiropractic Center PC

  • Chiropractor
  • Missoula, MT
  • NPI 1912069501
  Medicare reassignment NPD Authorized official
• Dr. Mage R. Lee

  dba Marquardt Chiropractic Clinic

  • Clinic/Center
  • Missoula, MT
  • NPI 1952817439
  NPD (past)
• Marquardt Chiropractic Clinic PC

  • Chiropractor
  • Missoula, MT
  • NPI 1932264496
  NPD (past)

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400803200000",
    "number": "1952584369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 KENSINGTON STE 24A",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015700",
            "telephone_number": "406-541-9150",
            "fax_number": "406-830-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 KENSINGTON STE 24A",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015700",
            "telephone_number": "406-541-9150",
            "fax_number": "406-830-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITHLEY",
        "first_name": "ALAN",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-07",
        "last_updated": "2014-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "1043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "U94196",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miranda Keenan, LBSW
• Carly Keene
• Jessica Erin Kehoe, DPT
• Alyssa Keith
• Amber Keith, LPC
• Denise Christine Kelley, MD
• Deserie Bonnie Kelley
• Donald Patrick Kelley, L.C.P.C.
• Kathleen Kelley, DPT
• Elizabeth Laurel Kellogg, RD, LN

• Chiropractor in Missoula, MT
• Providers in Missoula, MT by specialty
• Chiropractor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.