Individual provider Active NPI

Matthew Paul Keem, DC

  • Chiropractor
  • Webster, NY
National Provider Identifier
1992941843
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
011620 Issued in NY
Practice address
1205 Ridge Rd
Webster, NY 14580-2923
Phone
(585) 872-9211
Fax
(585) 872-9311
NPI assigned
Dec 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 011620 NY Primary
Chiropractor 111N00000X 001785 CT

Addresses

Primary practice location

1205 Ridge Rd
Webster, NY 14580-2923

Mailing address

1205 Ridge Rd
Webster, NY 14580-2923
Phone (585) 872-9211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091217000025 NY Practitioner - Chiropractic 6002956364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1205 Ridge Rd
Webster, NY 14580-2923
Phone (585) 872-9211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
011620NYMDClinical Psychologist
001785CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Webster Chiropractic Care P.C. Chiropractor CurrentSince Nov 4, 2009 Accepting new patients

Locations

1205 Ridge Rd
Webster, NY 14580
Phone (585) 872-9211

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": "1230076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1992941843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 RIDGE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802923",
            "telephone_number": "585-872-9211",
            "fax_number": "585-872-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 RIDGE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802923",
            "telephone_number": "585-872-9211",
            "fax_number": "585-872-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEM",
        "first_name": "MATTHEW",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-24",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011620",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001785",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.