Active NPI
Courtney Kelly, DC
- Chiropractor
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHR.0008431
- Practice address
- 2242 W 29TH Ave
Denver, CO 80211-3804 - Phone
- (303) 718-3435
- NPI assigned
- Sep 30, 2021
- Last updated
- Sep 30, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| CHR.0008431 | CO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Chiropractic P.C. | Current | 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
- 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.
-
dba Comprehensive Chiropractic
- Rehabilitation Clinic/Center
- Lakewood, CO
- NPI 1346602216
-
- Specialist
- Broomfield, CO
- NPI 1306383039
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.