Active NPI
Kelley Dianne Chick, DC
- Chiropractor
- Daytona Beach, FL
National Provider Identifier
1386576338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH15984
- Practice address
- 1890 Lpga Blvd Ste 140
Daytona Beach, FL 32117-7131 - Phone
- (386) 947-7185
- NPI assigned
- Jun 2, 2026
- 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 | CH15984 | FL | Primary |
Addresses
Primary practice location
1890 Lpga Blvd Ste 140
Daytona Beach, FL 32117-7131
Mailing address
1890 Lpga Blvd Ste 140
Daytona Beach, FL 32117-7131
Phone (386) 947-7185
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5400 Coraci Blvd
Apt 10109
Port Orange, FL 32128-7209
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH15984 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Passion Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
3510 S Nova Rd
Ste 111
Port Orange, FL 32129
Phone (386) 310-9401
Organizations & group practices 1
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.
-
- Chiropractor
- Port Orange, FL
- NPI 1619476744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1386576338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1890 LPGA BLVD STE 140",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321177131",
"telephone_number": "386-947-7185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1890 LPGA BLVD STE 140",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321177131",
"telephone_number": "386-947-7185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHICK",
"first_name": "KELLEY",
"middle_name": "DIANNE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-02",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH15984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.