Norman Kettner, DC,DACBR

Primary specialty

Radiology ChiropractorTaxonomy code 111NR0200X

License

004447 Issued in MO

Practice address

1851 Schoettler Rd
Chesterfield, MO 63017-5529

Phone

(636) 227-2100

NPI assigned

Jun 18, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gray Family Chiropractic PLLC

  • Chiropractor
  • Chesterfield, MO
  • NPI 1811312663
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1962447649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 SCHOETTLER RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 SCHOETTLER RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175529",
            "telephone_number": "636-227-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTNER",
        "first_name": "NORMAN",
        "credential": "DC,DACBR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "MO",
            "license": "004447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth G Selke MD
• Kenneth G. Wolf, D.C., L.L.C.
• L Joseph Kennington, MD
• Tylor Kersten, MD
• Katharine Kerstetter
• Key Anesthesia Partners
• Key Autism Services Mo, LLC
• Jessica Marie Keyser
• Fedwa Khalifa, M.D.
• Jevinne Khan, DC

• Radiology Chiropractor in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Radiology Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.