Individual provider Active NPI

Holli Jo Marie Kells, DC

  • Chiropractor
  • Grand Forks, ND
National Provider Identifier
1720835358
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1209 Issued in ND
Practice address
4551 S Washington St Ste K
Grand Forks, ND 58201-3495
Phone
(701) 787-1319
NPI assigned
May 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1209 ND Primary

Addresses

Primary practice location

4551 S Washington St Ste K
Grand Forks, ND 58201-3495

Mailing address

3555 40TH Ave S Apt 211
Grand Forks, ND 58201-3590
Phone (763) 498-2152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250410000933 ND Practitioner - Chiropractic 1658895735 Reassigns benefits to 1 organization
Practice locations: Grand Forks, ND

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectra HealthGroup PAC ID 8022075258, 12 clinicians

Practice addresses (Care Compare)

2015 Library Cir
Suite 101
Grand Forks, ND 58201-6387
Phone (701) 506-0333

212 S 4TH St
Suite 200
Grand Forks, ND 58201-4781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1209NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Smaby Chiropractic PLLC Chiropractor CurrentSince Jan 3, 2026 Accepting new patients
Spectra Health CurrentSince May 18, 2025 Accepting new patients
Firm Foundation Health and Healing, PLLC Chiropractor CurrentSince Mar 1, 2025 Accepting new patients
Spectra Health Past Accepting new patients
Chiro RX, LTD. Chiropractor PastSince May 1, 2024 Accepting new patients

Locations

2015 Library Cir
Ste 101
Grand Forks, ND 58201
Phone (701) 787-1319

212 S 4th St
Ste 301
Grand Forks, ND 58201
Phone (701) 757-2100

4551 S Washington St
Ste K
Grand Forks, ND 58201
Phone (701) 314-6367

212 S 4th St
Ste 200
Grand Forks, ND 58201
Phone (701) 757-2100

607 Towner Ave
Larimore, ND 58251
Phone (701) 318-9399

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": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1720835358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 40TH AVE S APT 211",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582013590",
            "telephone_number": "763-498-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4551 S WASHINGTON ST STE K",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582013495",
            "telephone_number": "701-787-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLS",
        "first_name": "HOLLI",
        "middle_name": "JO MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "1209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.