Individual provider Active NPI

Christopher Karol Kelley, D.C.

  • Chiropractor
  • Knoxville, TN
National Provider Identifier
1164435392
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1360 Issued in TN
Practice address
7221 Oak Ridge Hwy
Knoxville, TN 37931-2661
Phone
(865) 693-5350
Fax
(865) 693-5286
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1360 TN Primary

Addresses

Primary practice location

7221 Oak Ridge Hwy
Knoxville, TN 37931-2661

Mailing address

7221 Oak Ridge Hwy
Knoxville, TN 37931-2661
Phone (865) 693-5350

Other identifiers 1

IdentifierTypeStateIssuer
3679088MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120604000475 TN Practitioner - Chiropractic 0941464903 Practice locations: Knoxville, TN

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7221 Oak Ridge Hwy
Suite 100
Knoxville, TN 37931-2662
Phone (865) 693-5350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1360TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Podiatric Clinics Inc Past Accepting new patients
Williem R. Kelley DCPC Chiropractor PastSince Feb 1, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1164435392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7221 OAK RIDGE HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379312661",
            "telephone_number": "865-693-5350",
            "fax_number": "865-693-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7221 OAK RIDGE HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379312661",
            "telephone_number": "865-693-5350",
            "fax_number": "865-693-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "CHRISTOPHER",
        "middle_name": "KAROL",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "1360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3679088",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.