Active NPI
Daniel Joseph Kelly, D.C.
- Chiropractor
- Belmont, MA
National Provider Identifier
1649333832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3035
- Practice address
- 26 Brighton St
Suite 300
Belmont, MA 02478-4043 - Phone
- (617) 993-9936
- Fax
- (617) 993-9938
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 3035 | MA | Primary |
Addresses
Primary practice location
26 Brighton St
Suite 300
Belmont, MA 02478-4043
Mailing address
26 Brighton St
Suite 300
Belmont, MA 02478-4043
Phone (781) 552-1510
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 494512 | Other | MA | TUFTS HEALTH PLAN |
| AA51528 | Other | MA | HARVARD PILGRIM HEALTH |
| Y37098 | Other | MA | BCBS OF MASS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649333832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 BRIGHTON ST",
"address_2": "SUITE 300",
"city": "BELMONT",
"state": "MA",
"postal_code": "024784043",
"telephone_number": "781-552-1510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 BRIGHTON ST",
"address_2": "SUITE 300",
"city": "BELMONT",
"state": "MA",
"postal_code": "024784043",
"telephone_number": "617-993-9936",
"fax_number": "617-993-9938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "DANIEL",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "3035",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "494512",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH",
"identifier": "AA51528",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MASS",
"identifier": "Y37098",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Belmont, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.