Individual provider Active NPI

Arian G. Kelley, D.C.

  • Chiropractor
  • Wilmington, NC
National Provider Identifier
1578664439
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2713 Issued in NC
Practice address
2307 N College Rd
Wilmington, NC 28405-6443
Phone
(910) 392-1488
Fax
(910) 392-1489
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2713 NC Primary

Addresses

Primary practice location

2307 N College Rd
Wilmington, NC 28405-6443

Mailing address

2595 S 17TH St
Wilmington, NC 28401-7748
Phone (910) 392-1252

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2713NCMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthsource of Leland, PLLC Chiropractor Past Accepting new patients
Center for Spinal Surgery Prevention Chiropractor Past Accepting new patients
Tuck Chiropractic Corporation Chiropractor Past Accepting new patients
Becker Clinic LTD Chiropractor Past Accepting new patients
Choice Healthcare Center, P.C. Chiropractor PastSince Apr 2, 2004 Accepting new patients

Organizations & group practices 5

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1578664439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017748",
            "telephone_number": "910-392-1252",
            "fax_number": "910-392-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 N COLLEGE RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284056443",
            "telephone_number": "910-392-1488",
            "fax_number": "910-392-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "ARIAN",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.