Keene Osteopathy Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KEENE OSTEOPATHY INC

Practice address

555 Soquel Ave Ste 350
Santa Cruz, CA 95062-2320

Phone

(831) 421-9222

NPI assigned

Feb 20, 2019

Organization subpart

No

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

Authorized official

Name

Kyle Roy Keene, DONPI 1164783049

Title

Ceo

Phone

(530) 220-2230

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyle R Keene, D.O.

  • Family Medicine Physician
  • Santa Cruz, CA
  • NPI 1164783049

  Multi-Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1982161428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 LAUREL ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603522",
            "telephone_number": "831-316-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SOQUEL AVE STE 350",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622320",
            "telephone_number": "831-421-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEENE OSTEOPATHY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "KEENE",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-220-2230",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corrina Riggs Keas
• Barry Lynn Keeler
• Alicia Keen, MFT
• David Oliver Keenan, PA-C
• Patricia A Keenan, ACUPUNCTURIST , RN
• Kyle R Keene, D.O.
• Meredith Corwin Keet, RN, MS, WHNP
• Robert Keet, M.D.
• Kathleen Ann Kehmna, NP
• Lois A Keiser

• Family Medicine Physician in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.