Organization Active NPI

Laurie a. Kelleher, DC, PC

  • Chiropractor
  • Yorktown Heights, NY
National Provider Identifier
1053583765
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X01058 Issued in NY
Legal business name
LAURIE A. KELLEHER, DC, PC
Practice address
342 Downing Dr
Yorktown Heights, NY 10598-4414
Phone
(914) 302-2190
Fax
(914) 302-2191
NPI assigned
Apr 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Dr. Laurie A Kelleher, DCNPI 1902832140
Title
Owner/Doctor
Phone
(914) 302-2190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X01058 NY Primary

Addresses

Primary practice location

342 Downing Dr
Yorktown Heights, NY 10598-4414

Mailing address

342 Downing Dr
Yorktown Heights, NY 10598-4414
Phone (914) 302-2190

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080814000039 NY Part B Supplier - Clinic/Group Practice 6002981867 Receives reassigned benefits from 1 practitioner
Practice locations: Yorktown Heights, NY

National Provider Directory

National Provider Directory

Locations

2051 Baldwin Rd
#101
Yorktown Hts, NY 10598
Phone 8007508616114

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1053583765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 DOWNING DR",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984414",
            "telephone_number": "914-302-2190",
            "fax_number": "914-302-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 DOWNING DR",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984414",
            "telephone_number": "914-302-2190",
            "fax_number": "914-302-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE A. KELLEHER, DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "KELLEHER",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "914-302-2190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X01058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.