Individual provider Active NPI

Kelly Ostler, D.C.

  • Chiropractor
  • Tucson, AZ
National Provider Identifier
1023558442
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8659 Issued in AZ
Practice address
6410 E Boldin Dr
Tucson, AZ 85756-8421
Phone
(623) 210-5505
NPI assigned
Mar 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33803 CA
Chiropractor 111N00000X 8659 AZ Primary

Addresses

Primary practice location

6410 E Boldin Dr
Tucson, AZ 85756-8421

Mailing address

6410 E Boldin Dr
Tucson, AZ 85756-8421
Phone (623) 210-5505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33803CAMDDentist
8659AZMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel F. Allen D.C., P.C. Chiropractor PastSince Jan 30, 2019 Accepting new patients

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": "1488585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1023558442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 E BOLDIN DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857568421",
            "telephone_number": "623-210-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 E BOLDIN DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857568421",
            "telephone_number": "623-210-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTLER",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-04",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33803",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.