Individual provider Active NPI

Kelley Graham Helmendach, DC

  • Chiropractor
  • Mint Hill, NC
National Provider Identifier
1558428136
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1834 Issued in NC
Practice address
7215 Lebanon Rd Ste a
A
Mint Hill, NC 28227-9027
Phone
(704) 573-7161
Fax
(704) 573-3799
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1834 NC Primary

Addresses

Primary practice location

7215 Lebanon Rd Ste a
A
Mint Hill, NC 28227-9027

Mailing address

7215 Lebanon Rd
Suite a
Mint Hill, NC 28227-9026
Phone (704) 573-7161

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100126000073 NC Practitioner - Chiropractic 8921162744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7215 Lebanon Rd
Suite a
Mint Hill, NC 28227-9027
Phone (704) 573-7161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1834NCMDPsychologist

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1558428136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 LEBANON RD",
            "address_2": "SUITE A",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282279026",
            "telephone_number": "704-573-7161",
            "fax_number": "704-573-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 LEBANON RD STE A",
            "address_2": "A",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282279027",
            "telephone_number": "704-573-7161",
            "fax_number": "704-573-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELMENDACH",
        "first_name": "KELLEY",
        "middle_name": "GRAHAM",
        "name_prefix": "Mrs.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mint Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.