Individual provider Active NPI

Courtney Kelly, DC

  • Chiropractor
  • Denver, CO
National Provider Identifier
1548932353
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0008431 Issued in CO
Practice address
2242 W 29TH Ave
Denver, CO 80211-3804
Phone
(303) 718-3435
NPI assigned
Sep 30, 2021
Last updated
Sep 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR.0008431 CO Primary

Addresses

Primary practice location

2242 W 29TH Ave
Denver, CO 80211-3804

Mailing address

2300 S Rock Creek Pkwy Apt 10-203
Superior, CO 80027-4413
Phone (941) 600-7978

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211007002031 CO Practitioner - Chiropractic 2365840204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Comprehensive Chiropractic PCGroup PAC ID 5193009611, 3 clinicians

Practice addresses (Care Compare)

2323 S Wadsworth Blvd
Suite 201
Lakewood, CO 80227-3275
Phone (720) 458-0487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR.0008431COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Chiropractic P.C. CurrentSince Jan 5, 2026 Accepting new patients
Boulder County Primary Care and Rehab Past Accepting new patients

Locations

2323 S Wadsworth Blvd
Ste 201
Lakewood, CO 80227
Phone (720) 458-0487

2323 S Wadsworth Blvd
Unit 201
Lakewood, CO 80227

Interoperability endpoints

  • Direct secure messaging: courtney.kelly.2@29676.direct.athenahealth.com

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": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1548932353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 S ROCK CREEK PKWY APT 10-203",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800274413",
            "telephone_number": "941-600-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2242 W 29TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113804",
            "telephone_number": "303-718-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "COURTNEY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0008431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.