Judy L Kelly PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5277 Issued in TX

Legal business name

JUDY L KELLY PC

Practice address

1925 E Belt Line Rd
#503
Carrollton, TX 75006-5801

Phone

(972) 242-3080

Fax

(972) 242-2071

NPI assigned

Nov 22, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Judy Kelly, DCNPI 1366616211

Title

Office Manager

Phone

(972) 242-3080

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wellness Plus Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Judy Kelly, D.C.

  • Chiropractor
  • Carrollton, TX
  • NPI 1366616211
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1770566762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 E BELT LINE RD",
            "address_2": "#503",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065801",
            "telephone_number": "972-242-3080",
            "fax_number": "972-242-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 E BELT LINE RD",
            "address_2": "#503",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065801",
            "telephone_number": "972-242-3080",
            "fax_number": "972-242-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY L KELLY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-242-3080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088403301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Josey Lane Chiropractic and Rehab Center
• Josey Lane Family Dentistry PLLC
• Joyful Journey Pediatric Speech and Feeding Therapy, PLLC
• JSN Metrocare, LLC
• Jubilee Blessings LLC
• James Eric Justiss, PTA
• Summer Joy Kaafarani, LPC-S
• Tracie Kaip, PSY.D.
• Iris Kamgue
• Kan Di Ki, LLC

• Chiropractor in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.