Ian Seth David Kelly, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12474 Issued in TX

Practice address

7201 W I 40 Ste 210
Amarillo, TX 79106-2634

Phone

(806) 337-2084

Fax

(806) 803-9663

NPI assigned

Nov 14, 2013

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 TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Paragon Chiropractic Inc.

  • Chiropractor
  • Amarillo, TX
  • NPI 1780344606
  Medicare reassignment NPD Authorized official
• New Life Chiropractic and Wellness

  • Chiropractor
  • Amarillo, TX
  • NPI 1902560626
  NPD Authorized official

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1497185235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 S MILAM ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791103210",
            "telephone_number": "806-676-2007",
            "fax_number": "806-803-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 W I 40 STE 210",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062634",
            "telephone_number": "806-337-2084",
            "fax_number": "806-803-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "IAN",
        "middle_name": "SETH DAVID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-14",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John C Kelleher Jr., M.D.
• Erin J Keller, MPT
• James M Kelley, M.D.
• Stephanie Kelley, DDS
• Erin Page Kelln
• Olivia Breonna Kelly, DDS
• Audrey Deshaun Kemp, LVN
• Stephanie Lynn Kemp
• William James Kemp Jr., D.D.S.
• Michael Welt Kendall, DPM PHD

• Chiropractor in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.