Denise L. Kelley Gantt, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8093 Issued in AZ

Practice address

3510 N 24TH St
Suite B
Phoenix, AZ 85016-6608

Phone

(602) 402-1904

NPI assigned

Jan 9, 2010

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1262995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1174853428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 W 11TH ST",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 N 24TH ST",
            "address_2": "SUITE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166608",
            "telephone_number": "602-402-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY GANTT",
        "first_name": "DENISE",
        "middle_name": "L.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-09",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monireh Mahboubi Keller, M.D.
• Shannon Marie Keller, MS, RD
• Virginia M. Keller, M.C., LPC
• Sarah Kellerhals
• Tania Sharlene Kellermeyer, MD
• Adrienne J Kelley, P.A.-C
• Ashlyn Clarise Kelley, AGACNP
• Cathy Kelley, PA
• Charmian Kelley, PHARM D
• Christina Kelley, LPC

• Chiropractor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.