Kelly John Chapman, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

34865 Issued in CA

Practice address

6049 Douglas Blvd Ste 5
Granite Bay, CA 95746-6249

Phone

(916) 933-9870

NPI assigned

Apr 15, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Angelo Chiropractic, IncGroup PAC ID 9436320561, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Angelo Chiropractic, Inc

  • Chiropractor
  • El Dorado Hills, CA
  • NPI 1841583135
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1689255382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 EMBARCADERO DR STE 4",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624098",
            "telephone_number": "916-933-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6049 DOUGLAS BLVD STE 5",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466249",
            "telephone_number": "916-933-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "KELLY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Carrillo
• Katelynn Cascudo
• Cassie Spalding-Dias MD Apc
• Chris Cedars, D.C.
• Francisco Xavier Cervantes Sr., DDS
• Claire Melissa Charvat
• Kevin Ray Chesebro, M.D.
• Brandon Neeley Christensen, D.M.D.
• Karina Jade Chu
• Christina Ciudad-Real

• Chiropractor in Granite Bay, CA
• Providers in Granite Bay, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.