Joseph Robert Kelley, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00003676 Issued in WA

Practice address

12305 120TH Ave NE
Suite a
Kirkland, WA 98034-6921

Phone

(425) 820-2777

Fax

(425) 821-5528

NPI assigned

Aug 24, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kelley Chiropractic Wellness Center PLLC

  • Chiropractor
  • Kirkland, WA
  • NPI 1063634855
  NPD (past) Authorized official

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1689781528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12305 120TH AVE NE",
            "address_2": "SUITE A",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346921",
            "telephone_number": "425-820-2777",
            "fax_number": "425-821-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12305 120TH AVE NE",
            "address_2": "SUITE A",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346921",
            "telephone_number": "425-820-2777",
            "fax_number": "425-821-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "JOSEPH",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR AND INDUSTR",
            "identifier": "0129284",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE RYDER",
            "identifier": "KE7942",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaime Kelleher
• Talia Keller
• Kelley Chiropractic Wellness Center PLLC
• Kelley PS
• Ann Kelley, D.D.S.
• Robert Kenneth Kelley, MD
• Amber Kelly
• Liam Kelly
• Patrick Ryan Kelly, PHARMD
• Shelley Anne Kemmerer

• Chiropractor in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.

Verify at the official NPI Registry.