Organization Active NPI

Jean Kelly, D.C., P.C.

  • Chiropractor
  • Boston, MA
National Provider Identifier
1518109156
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2038 Issued in MA
Legal business name
JEAN KELLY, D.C., P.C.
Practice address
667 Boylston St Ste 400
Boston, MA 02116-4811
Phone
(617) 859-0007
NPI assigned
Mar 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Authorized official

Name
Dr. Jean Kelly, D.C.
Title
President
Phone
(617) 859-0007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2038 MA Primary

Addresses

Primary practice location

667 Boylston St Ste 400
Boston, MA 02116-4811

Mailing address

667 Boylston St Ste 400
Boston, MA 02116-4811
Phone (617) 859-0007

National Provider Directory

National Provider Directory

Locations

575 Boylston St
#4
Boston, MA 02116
Phone (617) 859-0007

575 Boylston St
Ste 2R
Boston, MA 02116
Phone (617) 859-0007

667 Boylston St
Ste 400
Boston, MA 02116
Phone (617) 859-0007

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1518109156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 BOYLSTON ST STE 400",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021164811",
            "telephone_number": "617-859-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 BOYLSTON ST STE 400",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021164811",
            "telephone_number": "617-859-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN KELLY, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-859-0007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.