Organization Active NPI

Kelly a. Delorey, D.C., Inc.

Doing business as The Village Chiropractor

  • Chiropractor
  • Reading, MA
National Provider Identifier
1346312287
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1936 Issued in MA
Legal business name
KELLY A. DELOREY, D.C., INC.
Doing business as
The Village Chiropractor
Practice address
484 Main St Ste 1
Reading, MA 01867-3140
Phone
(781) 246-2888
Fax
(781) 246-2899
NPI assigned
Nov 15, 2006
Last updated
Dec 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Dr. Kelly A Delorey, D.C.NPI 1164595435
Title
President
Phone
(781) 246-2888

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
Chiropractor 111N00000X 1936 MA Primary

Addresses

Primary practice location

484 Main St Ste 1
Reading, MA 01867-3140

Mailing address

484 Main St Ste 1
Reading, MA 01867-3140
Phone (781) 246-2888

Other identifiers 2

IdentifierTypeStateIssuer
Y39802OtherMABCBS OF MA GROUP ID
11010434AAMedicaidMA

Other names 1

  • The Village Chiropractor Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040823001311 MA Part B Supplier - Clinic/Group Practice 0648244970 Receives reassigned benefits from 1 practitioner
Practice locations: Reading, MA

National Provider Directory

National Provider Directory

Locations

7 Bow St
North Reading, MA 01864
Phone (978) 664-6888

591 North Ave
#42
Wakefield, MA 01880
Phone (781) 246-2888

591 North Ave
Ste 2
Wakefield, MA 01880

Interoperability endpoints

  • Direct secure messaging: chiro325@tvc0001.direct.chirotouch.md

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1346312287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 MAIN ST STE 1",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673140",
            "telephone_number": "781-246-2888",
            "fax_number": "781-246-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 MAIN ST STE 1",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673140",
            "telephone_number": "781-246-2888",
            "fax_number": "781-246-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY A. DELOREY, D.C., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "DELOREY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-246-2888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA GROUP ID",
            "identifier": "Y39802",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11010434AA",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Village Chiropractor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Village Chiropractor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reading, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.