Active NPI
Jean Kelly, D.C.
- Chiropractor
- Boston, MA
National Provider Identifier
1639270333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2038
- Practice address
- 575 Boylston St FL 4
Boston, MA 02116-3607 - Phone
- (617) 859-0007
- Fax
- (617) 927-0808
- NPI assigned
- Sep 26, 2006
- 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 | 2038 | MA | Primary |
Addresses
Primary practice location
575 Boylston St FL 4
Boston, MA 02116-3607
Mailing address
575 Boylston St FL 4
Boston, MA 02116-3607
Phone (617) 859-0007
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Chiropractic and Health Center PA | 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
- Naples, FL
- NPI 1396002952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238112000000",
"number": "1639270333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 BOYLSTON ST FL 4",
"city": "BOSTON",
"state": "MA",
"postal_code": "021163607",
"telephone_number": "617-859-0007",
"fax_number": "617-927-0808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 BOYLSTON ST FL 4",
"city": "BOSTON",
"state": "MA",
"postal_code": "021163607",
"telephone_number": "617-859-0007",
"fax_number": "617-927-0808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "JEAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2009-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "2038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.