Dr. Keith L Bostaph, DC
Dr. Keith L Bostaph is a Chiropractor provider (Chiropractor) practicing in Lady Lake, FL, registered in the NPPES registry with NPI 1962416149 since 2006. The credential DC stands for Doctor of Chiropractic.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1962416149 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Keith L Bostaph |
| Credential | DC |
| Sex | Male |
| Practice address | 6053 SPINNAKER LOOP, Lady Lake, FL, 32159 |
| Phone | 3526389090 |
| Fax | 3526389092 |
| Enumeration date | 2006-07-27 |
| Last updated in NPPES | 2013-10-10 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 111N00000X | Chiropractor | Primary | CH8400 | FL |
DC — Doctor of Chiropractic: A licensed chiropractor focusing on musculoskeletal and nervous system disorders. About the DC credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004450700 | Medicaid | FL | — |
| 70100 | Other | FL | BCBS |
Copy-ready billing details
Provider: Keith Bostaph, DC NPI: 1962416149 Taxonomy: 111N00000X (Chiropractor) Address: 6053 SPINNAKER LOOP, Lady Lake, FL, 32159
Verify this record
Cross-check NPI 1962416149 against the authoritative CMS record: view Dr. Keith L Bostaph on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-10-10.