Organization Active NPI

Jeanette Y Kelder DC PC

Doing business as The Wellness Group

  • Chiropractor
  • Wheat Ridge, CO
National Provider Identifier
1073756086
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5056 Issued in CO
Legal business name
JEANETTE Y KELDER DC PC
Doing business as
The Wellness Group
Practice address
7615 W 38TH Ave
Suite B-107
Wheat Ridge, CO 80033-6172
Phone
(303) 424-0401
NPI assigned
Apr 7, 2009
Last updated
Jun 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Authorized official

Name
Dr. Jeanette Y Kelder, DCNPI 1972716447
Title
Chiropractor
Phone
(303) 424-0401

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
Chiropractor 111N00000X 5056 CO Primary

Addresses

Primary practice location

7615 W 38TH Ave
Suite B-107
Wheat Ridge, CO 80033-6172

Mailing address

7615 W 38TH Ave
Suite B-107
Wheat Ridge, CO 80033-6172
Phone (303) 424-0401

Other names 1

  • The Wellness Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110602000372 CO Part B Supplier - Clinic/Group Practice 8628255577 Receives reassigned benefits from 1 practitioner
Practice locations: Wheat Ridge, CO

National Provider Directory

National Provider Directory

Locations

3705 Kipling St
Unit 103
Wheat Ridge, CO 80033
Phone (303) 424-0401

7615 W 38th Ave
Unit B107
Wheat Ridge, CO 80033
Phone (303) 318-2900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1073756086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7615 W 38TH AVE",
            "address_2": "SUITE B-107",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336172",
            "telephone_number": "303-424-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7615 W 38TH AVE",
            "address_2": "SUITE B-107",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336172",
            "telephone_number": "303-424-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANETTE Y KELDER DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "KELDER",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "303-424-0401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wellness Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.