Kelley Chiropractic Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

271969 Issued in OR

Legal business name

KELLEY CHIROPRACTIC CENTER, LLC

Practice address

111 SE Douglas St Ste F1
Newport, OR 97365-4434

Phone

(541) 265-5132

NPI assigned

Aug 19, 2013

Last updated

Feb 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ivan Kelley, DCNPI 1982767240

Title

Owner

Phone

(541) 265-5132

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Ivan F Kelley III, DC

  • Chiropractor
  • Newport, OR
  • NPI 1982767240
  Authorized official Same address or phone
• Karen Anne-Marie Murphy, L.C.S.W.

  • Clinical Social Worker
  • Newport, OR
  • NPI 1174679419
  NPD (past)

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1144653726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SE DOUGLAS ST STE F1",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654434",
            "telephone_number": "541-265-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SE DOUGLAS ST STE F1",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654434",
            "telephone_number": "541-265-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEY CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-19",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-265-5132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "271969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Karabanova
• Kema Kasalaba, APRN, CNP
• James A Kasanos, BS, CADCI
• Debra A Kauffman Fant, RN, BSN
• Spencer Grant Kaufman
• Lorie Ann Kelley Norton, APRN
• Ivan F Kelley III, DC
• Sue Kelley, LMT
• Brewster A Kellogg, DO
• Michael Richard Kempf, CRM

• Chiropractor in Newport, OR
• Providers in Newport, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.