Active NPI
Kelly Rene Capers, D.C.
- Chiropractor
- State College, PA
National Provider Identifier
1326284704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC010045
- Practice address
- 2603 E College Ave Ste B
State College, PA 16801-7542 - Phone
- (814) 235-2266
- Fax
- (814) 235-1715
- NPI assigned
- Jan 6, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC010045 | PA | Primary |
Addresses
Primary practice location
2603 E College Ave Ste B
State College, PA 16801-7542
Mailing address
2603 E College Avenue
Suite B
State College, PA 16801-7542
Phone (814) 235-2266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1326284704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2603 E COLLEGE AVENUE",
"address_2": "SUITE B",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168017542",
"telephone_number": "814-235-2266",
"fax_number": "814-235-1715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2603 E COLLEGE AVE STE B",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168017542",
"telephone_number": "814-235-2266",
"fax_number": "814-235-1715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPERS",
"first_name": "KELLY",
"middle_name": "RENE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-06",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC010045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.