Active NPI
Rae Francis Kelly, B.S.,D.C.
- Chiropractor
- Las Vegas, NV
National Provider Identifier
1558466151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- B-300
- Practice address
- 1405 Arville St
Ste 102
Las Vegas, NV 89102-0539 - Phone
- (702) 870-9200
- Fax
- (702) 870-9219
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- 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 | B-300 | NV | Primary |
Addresses
Primary practice location
1405 Arville St
Ste 102
Las Vegas, NV 89102-0539
Mailing address
1405 Arville St
Ste 102
Las Vegas, NV 89102-0539
Phone (702) 870-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B-300 | NV | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rae Francis Kelly DC a Professional Corp | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Las Vegas, NV
- NPI 1215461959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498089600000",
"number": "1558466151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 ARVILLE ST",
"address_2": "STE 102",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891020539",
"telephone_number": "702-870-9200",
"fax_number": "702-870-9219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 ARVILLE ST",
"address_2": "STE 102",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891020539",
"telephone_number": "702-870-9200",
"fax_number": "702-870-9219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "RAE",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"credential": "B.S.,D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2017-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NV",
"license": "B-300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.