Shane M Kelly DC Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

TX8144 Issued in TX

Legal business name

SHANE M KELLY DC INC

Practice address

1445 N Loop West
Suite 120
Houston, TX 77008-1654

Phone

(713) 864-9355

Fax

(713) 864-7211

NPI assigned

Dec 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Shane M Kelly, DC

Title

Owner

Phone

(713) 864-9355

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1255515318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 N LOOP WEST",
            "address_2": "SUITE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081654",
            "telephone_number": "713-864-9355",
            "fax_number": "713-864-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 N LOOP WEST",
            "address_2": "SUITE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081654",
            "telephone_number": "713-864-9355",
            "fax_number": "713-864-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANE M KELLY DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-864-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "TX8144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Houston, TX
• Providers in Houston, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.