Timothy Michael Kelley Jr., DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X011547-1 Issued in NY

Practice address

94 State St
Heuvelton, NY 13654

Phone

(315) 344-7296

Fax

(315) 344-7296

NPI assigned

Sep 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Michael Krupa, Inc.

  • Chiropractor
  • Holliston, MA
  • NPI 1144547605
  NPD (past)
• Steven E Katz D.C., P.a.

  • Chiropractor
  • Holliston, MA
  • NPI 1447449228
  NPD (past)

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

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253232000000",
    "number": "1356443972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 STATE ST",
            "city": "HEUVELTON",
            "state": "NY",
            "postal_code": "13654",
            "telephone_number": "315-344-7296",
            "fax_number": "315-344-7296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 STATE ST",
            "city": "HEUVELTON",
            "state": "NY",
            "postal_code": "13654",
            "telephone_number": "315-344-7296",
            "fax_number": "315-344-7296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-03",
        "last_updated": "2009-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3060",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011547-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rene Green, LMT
• Marilynn Jane Harper, LPN
• Heuvelton Central School
• Jessicalee P Hollis, FNP-C
• Megan J Johnson, MA, CCC-SLP
• LMX Paintless Dent Repair LLC
• Lori Ann Montroy, REGISTERED NURSE
• Timothy M Kelley DC PLLC
• United Helpers Care Inc
• United Helpers Care Inc

• Chiropractor in Heuvelton, NY
• Providers in Heuvelton, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.