Individual provider Active NPI

Kellsie Kay-Ann Dennis, DC

  • Chiropractor
  • Douglassville, PA
National Provider Identifier
1366959694
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011320 Issued in PA
Practice address
990 Ben Franklin Hwy E
Douglassville, PA 19518-9547
Phone
(610) 385-1444
Fax
(610) 385-1441
NPI assigned
Jan 9, 2018
Last updated
Apr 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011320 PA Primary

Addresses

Primary practice location

990 Ben Franklin Hwy E
Douglassville, PA 19518-9547

Mailing address

990 Ben Franklin Hwy E
Douglassville, PA 19518-9547
Phone (610) 385-1444

Other names 1

  • Kellsie Kay-Ann Davis Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240416001886 TX Practitioner - Chiropractic 1153682919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jaywhy IncGroup PAC ID 8628328051, 5 clinicians

Practice addresses (Care Compare)

420 Johnson Rd
Suite 204
Keller, TX 76248-3462
Phone (817) 431-4242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15963TXMDProfessional Counselor
DC011320PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Concierge Service,Inc. CurrentSince Feb 23, 2024 Accepting new patients
Jaywhy Inc Chiropractor CurrentSince Feb 23, 2024 Accepting new patients

Locations

420 Johnson Rd
Keller, TX 76248
Phone (817) 431-4242

420 Johnson Rd
Ste 204
Keller, TX 76248
Phone (817) 431-4242

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1366959694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 BEN FRANKLIN HWY E",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195189547",
            "telephone_number": "610-385-1444",
            "fax_number": "610-385-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 BEN FRANKLIN HWY E",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195189547",
            "telephone_number": "610-385-1444",
            "fax_number": "610-385-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "KELLSIE",
        "middle_name": "KAY-ANN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLSIE",
            "last_name": "DAVIS",
            "middle_name": "KAY-ANN",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Douglassville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.