Organization Active NPI

Donna M Kelly DC PC

  • Chiropractor
  • Clinton Township, MI
National Provider Identifier
1326058652
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005669 Issued in MI
Legal business name
DONNA M KELLY DC PC
Practice address
36410 Garfield
Kelly Chiropractic
Clinton Township, MI 48035-1131
Phone
(586) 792-5050
Fax
(586) 792-5298
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Donna Margaret Kelly, DCNPI 1356554463
Title
Chiropractor Pres
Phone
(586) 792-5050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301005669 MI Primary

Addresses

Primary practice location

36410 Garfield
Kelly Chiropractic
Clinton Township, MI 48035-1131

Mailing address

36410 Garfield
Clinton Township, MI 48035-1131
Phone (586) 792-5050

Other names 1

  • Kelly Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070714000164 MI Part B Supplier - Clinic/Group Practice 8820198237 Receives reassigned benefits from 1 practitioner
Practice locations: Clinton Township, MI

National Provider Directory

National Provider Directory

Locations

36410 Garfield Rd
Clinton Twp, MI 48035
Phone (586) 792-5050

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326058652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36410 GARFIELD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480351131",
            "telephone_number": "586-792-5050",
            "fax_number": "586-792-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36410 GARFIELD",
            "address_2": "KELLY CHIROPRACTIC",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480351131",
            "telephone_number": "586-792-5050",
            "fax_number": "586-792-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA M KELLY DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "CHIROPRACTOR PRES",
        "authorized_official_telephone_number": "586-792-5050",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelly Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.