Michael Patrick Kelly, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC13571 Issued in CA

Practice address

9317 Mission Gorge Rd
Santee, CA 92071-3815

Phone

(619) 562-8222

Fax

(619) 562-3106

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 1979

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Santee Chiropractic Clinic

  • Chiropractor
  • Santee, CA
  • NPI 1417211228
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356379788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9317 MISSION GORGE RD",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713815",
            "telephone_number": "619-562-8222",
            "fax_number": "619-562-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9317 MISSION GORGE RD",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713815",
            "telephone_number": "619-562-8222",
            "fax_number": "619-562-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC13571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Namrata Kapoor, M.D.
• Chanchai Karouna, O.D.
• Cicely Elizabeth Kaul, M.A., LPCC
• Veronica Barajas Keeler, LVN
• Yesenia Keller, NP
• Kerri Nicole Kill
• Eujean Thomas Kim, RN
• Jeong Hyun Kim
• Kaheun Kim
• Sheila King

• Chiropractor in Santee, CA
• Providers in Santee, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.