Matthew E Kelly, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

70012268 Issued in NY

Practice address

1851 Stone Rd
Rochester, NY 14615-2415

Phone

(585) 225-6430

Fax

(585) 225-9636

NPI assigned

Dec 6, 2012

Sex

Male

Sole proprietor

Yes

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 CA

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Dr. Dawn Liu Chiropractic, Inc.

  • Chiropractor
  • Solana Beach, CA
  • NPI 1245319706
  Medicare reassignment NPD
• DRD Healthsource Chiropractic PLLC

  • Sports Physician Chiropractor
  • Rochester, NY
  • NPI 1245479435
  NPD

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1053656785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 STONE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146152415",
            "telephone_number": "585-225-6430",
            "fax_number": "585-225-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 STONE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146152415",
            "telephone_number": "585-225-6430",
            "fax_number": "585-225-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MATTHEW",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "70012268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Kelly, MS, SPED
• Jeremy John Kelly
• Kaitlyn Marie Kelly, AU.D.
• Kristen M Kelly, RN
• Kristin Kelly, MS MHC
• Monica Kelly, LPN
• Shante Kelly, LPN
• Tiffaney Kelly, LPN
• Tonya Kelly, RN
• William A Kelly, LCSW-R

• Chiropractor in Rochester, NY
• Providers in Rochester, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.