Keller Chiropractic Clinic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

847 Issued in SD

Legal business name

KELLER CHIROPRACTIC CLINIC, PC

Practice address

404 W. Grand Crossing
Mobridge, SD 57601-2046

Phone

(605) 845-7808

Fax

(605) 845-5808

NPI assigned

Jan 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Michael Alan Keller, D.C.NPI 1083694657

Title

Owner

Phone

(605) 845-7808

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Practitioners 2

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

• Michael Alan Keller, D.C.

  • Chiropractor
  • Mobridge, SD
  • NPI 1083694657
  Medicare reassignment NPD Authorized official
• Rose Marie Henderson, D.C.

  • Chiropractor
  • Mobridge, SD
  • NPI 1083883383
  NPD (past)

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1982908018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 W. GRAND CROSSING",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "576012046",
            "telephone_number": "605-845-7808",
            "fax_number": "605-845-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 W. GRAND CROSSING",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "576012046",
            "telephone_number": "605-845-7808",
            "fax_number": "605-845-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLER CHIROPRACTIC CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-845-7808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Paul Hoffman, M.D.
• Anette Hollenbeck, CNP
• Malissa Holm, COTA
• Celeste Anne Karzon
• Keller and Wolf Chiropractic Clinic LLC
• Michael Alan Keller, D.C.
• Michael Mason Keller, FNP
• Jennifer Lynn Landon, COTA/L01
• Faith Antoinette Laroche, NAACT
• Jenny Marie Larson, LPC

• All providers in Mobridge, SD
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.