NPIMap

Organization Active NPI

Elizabeth Keeter D.C. LLC

  • Chiropractor
  • Daleville, VA
National Provider Identifier
1982928081
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
43 Issued in AK
Legal business name
ELIZABETH KEETER D.C. LLC
Practice address
1450 Roanoke Rd
Daleville, VA 24083-2935
Phone
(907) 841-1495
NPI assigned
Mar 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Authorized official

Name
Elizabeth Anne Keeter, D.C.NPI 1114241312
Title
Owner/President
Phone
(907) 841-1495

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 43 AK Primary

Addresses

Primary practice location

1450 Roanoke Rd
Daleville, VA 24083-2935

Mailing address

1450 Roanoke Rd
Daleville, VA 24083-2935
Phone (907) 841-1495

Other identifiers 2

IdentifierTypeStateIssuer
K163013OtherMEDICARE PTAN
1000772MedicaidAK

Other names 1

  • Keeter Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100610000906 AK Part B Supplier - Clinic/Group Practice 6406986876 Receives reassigned benefits from 1 practitioner
Practice locations: Wasilla, AK
O20210505002257 VA Part B Supplier - Clinic/Group Practice 6406986876 Receives reassigned benefits from 1 practitioner
Practice locations: Daleville, VA

National Provider Directory

National Provider Directory

Locations

2801 E Palmer Wasilla Hwy
Ste C
Wasilla, AK 99654
Phone (907) 357-3577

1450 Roanoke Rd
Daleville, VA 24083
Phone (907) 841-1495

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1982928081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 ROANOKE RD",
            "city": "DALEVILLE",
            "state": "VA",
            "postal_code": "240832935",
            "telephone_number": "907-841-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 ROANOKE RD",
            "city": "DALEVILLE",
            "state": "VA",
            "postal_code": "240832935",
            "telephone_number": "907-841-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH KEETER D.C. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "KEETER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "907-841-1495",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "43",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K163013",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000772",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keeter Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daleville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.