Active NPI
Melinda C Keller, DC
- Chiropractor
- Brooklyn, NY
National Provider Identifier
1972550887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X002968-1
- Practice address
- 5911 16TH Ave
Brooklyn, NY 11204-2114 - Phone
- (718) 234-6200
- Fax
- (718) 234-6210
- NPI assigned
- May 27, 2006
- Last updated
- Oct 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X002968-1 | NY | Primary |
Addresses
Primary practice location
5911 16TH Ave
Brooklyn, NY 11204-2114
Mailing address
5911 16TH Ave
Brooklyn, NY 11204-2114
Phone (718) 234-6200
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P2103354 | Other | NY | OXFORD |
| X7P121 | Other | NY | BLUE CROSS BLUE SHIELD |
| 02568041 | Medicaid | NY | |
| 5897420 | Other | NY | GHI |
| 100063047901 | Other | NY | AMERICHOICE |
| 166252 | Other | NY | ELDERPLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1514 60TH St
Suite 308
Brooklyn, NY 11219-5022
Phone (718) 234-6200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X002968-1 | NY | MD | Chiropractor |
| 002968 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brooklyn Spine Chiropractic PC | Chiropractor | Current | Accepting new patients |
| Keller Chiropractic of Crown Heights LLC. | Chiropractor | Past | Accepting new patients |
| Keller Chiropractic of Williamsburg LLC. | Chiropractor | Past | Accepting new patients |
Locations
1514 60th St
Ste 308
Brooklyn, NY 11219
Phone (718) 234-6200
5911 16th Ave
Brooklyn, NY 11204
Phone (718) 232-2300
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349740800000",
"number": "1972550887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5911 16TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112042114",
"telephone_number": "718-234-6200",
"fax_number": "718-234-6210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5911 16TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112042114",
"telephone_number": "718-234-6200",
"fax_number": "718-234-6210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "MELINDA",
"middle_name": "C",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2012-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X002968-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2103354",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "X7P121",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02568041",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "5897420",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "100063047901",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDERPLAN",
"identifier": "166252",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.