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KEYSTONE CHIROPRACTIC, LLC
NPI 1730537747
Chiropractor in Tulsa, OK

Active since May 31, 2016
4835 S FULTON AVE STE 103, TULSA, OK 74135(918) 663-6045(918) 749-6577 Get Directions Write a Review

NPPES record last updated: May 31, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Keystone Chiropractic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEYSTONE CHIROPRACTIC, LLC (NPI 1730537747) is a healthcare organization registered as a chiropractor in Tulsa, Oklahoma and active in the NPI registry since May 2016. The organization lists Jared Bennett, Owner, as its authorized official.

NPPES Registry Identity

NPI1730537747
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameKEYSTONE CHIROPRACTIC, LLC
Location Address4835 S FULTON AVE STE 103Tulsa, OK 74135-6976
Mailing Address4835 S Fulton Ave Ste 103Tulsa, OK 74135-6976 · (918) 663-6045 · Fax (918) 749-6577
Phone(918) 663-6045
Fax(918) 749-6577
Organization SubpartNo
Authorized OfficialJared BennettOwner · (918) 663-6045
Enumeration DateMay 31, 2016
✔ NPI 1730537747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OK · 3918
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
4835 S FULTON AVE STE 103, Tulsa, OK 74135
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keystone Chiropractic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Keystone Chiropractic, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jared Bennett, D.C.
Chiropractic
NPI 1760620371
4045 NW 64TH ST STE 160
Oklahoma City, OK 73116
(405) 659-5418
✔ Accepts Medicare102 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keystone Chiropractic, LLC's NPI number?

The NPI number for Keystone Chiropractic, LLC is 1730537747. It was assigned to this organization in the NPPES registry on May 31, 2016.

Where is Keystone Chiropractic, LLC located?

Keystone Chiropractic, LLC is located at 4835 S Fulton Ave Ste 103, Tulsa, OK 74135. The listed phone number is (918) 663-6045.

What is Keystone Chiropractic, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Keystone Chiropractic, LLC enrolled in Medicare?

Yes. Keystone Chiropractic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Keystone Chiropractic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Keystone Chiropractic, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Keystone Chiropractic, LLC was last updated on May 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.