Kelly Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06765 Issued in IA

Legal business name

KELLY CHIROPRACTIC, PLLC

Practice address

1006 5TH St
#102
Coralville, IA 52241-2902

Phone

(319) 337-4994

NPI assigned

Jun 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Grace Kelly, D.C.NPI 1780658609

Title

Owner

Phone

(563) 505-7334

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Grace Ann Kelly, D.C.

  • Chiropractor
  • Coralville, IA
  • NPI 1780658609
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1265727390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 5TH ST",
            "address_2": "#102",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412902",
            "telephone_number": "319-337-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 5TH ST",
            "address_2": "#102",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412902",
            "telephone_number": "319-337-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-505-7334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Amos LMFT, RPT, LLC
• Kathryn Patricia Kaufman, PA-C
• James R Kay, PHARMD
• Andrew John Keinroth, D.C.
• Gary John Keller, D.O.
• Erin Margaret Kelly, MA
• Grace Ann Kelly, D.C.
• Griffin Kelly
• Nathan Peter Kepros
• Meghan P Kern

• Chiropractor in Coralville, IA
• Providers in Coralville, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.