Amanda J Kelley, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4980 Issued in CO

Practice address

6565 W Jewell Ave Ste 12a
Lakewood, CO 80232-7102

Phone

(303) 484-8136

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mountainside Family Chiropractic LLC

  • Chiropractor
  • Lakewood, CO
  • NPI 1104616887
  Medicare reassignment NPD Authorized official
• Mountainside Family Chiropractic PC

  • Chiropractor
  • Westminster, CO
  • NPI 1144451865
  NPD (past) Authorized official

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1043394380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 W JEWELL AVE STE 12A",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802327102",
            "telephone_number": "303-484-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 W JEWELL AVE STE 12A",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802327102",
            "telephone_number": "303-484-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "AMANDA",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Kehoe, LPC
• Mary Jeanette Kehoe, D.C.
• Katie Keighley, DPT
• Anna Beth Keith, RN
• Luther Keller, MT
• Darby Kelley
• Katie Johanna Kelley, LPC
• Kendra Lee Kelley
• Nicholas Symons Kelley
• Kelly Ann Thompson DDS PLLC

• Chiropractor in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.