Individual provider Active NPI

Steven J Keller, DC

  • Chiropractor
  • Camden, AR
National Provider Identifier
1982753331
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1525 Issued in AR
Practice address
1920 Washington
Ste B
Camden, AR 71701
Phone
(870) 836-9999
Fax
(870) 836-9998
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1525 AR Primary

Addresses

Primary practice location

1920 Washington
Ste B
Camden, AR 71701

Mailing address

1920 Washington
Ste B
Camden, AR 71701
Phone (870) 836-9999

Other identifiers 2

IdentifierTypeStateIssuer
145598718MedicaidAR
5W595OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110701000248 AR Practitioner - Chiropractic 9133307671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

125 Jefferson St SW
Camden, AR 71701-3945
Phone (870) 836-9999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1525ARMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Steven J Keller, D.C, P.a. Chiropractor CurrentSince Apr 30, 2011 Accepting new patients

Locations

1920 W Washington St
Ste B
Camden, AR 71701
Phone (870) 836-0010

125 Jefferson St SW
Camden, AR 71701
Phone (870) 836-9999

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1982753331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 WASHINGTON",
            "address_2": "STE B",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "71701",
            "telephone_number": "870-836-9999",
            "fax_number": "870-836-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 WASHINGTON",
            "address_2": "STE B",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "71701",
            "telephone_number": "870-836-9999",
            "fax_number": "870-836-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "STEVEN",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145598718",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5W595",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.

Verify at the official NPI Registry.