Grace Ann Kelly, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06765 Issued in IA

Practice address

1440 5TH St
Suite 1
Coralville, IA 52241-1853

Phone

(319) 354-2468

NPI assigned

Feb 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Kelly Chiropractic, PLLC

  • Chiropractor
  • Coralville, IA
  • NPI 1265727390
  Medicare reassignment Authorized official
• Bowman Chiropractic Associates PC

  • Chiropractor
  • Iowa City, IA
  • NPI 1508924325
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1780658609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 5TH ST",
            "address_2": "STE 102",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412902",
            "telephone_number": "563-505-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 5TH ST",
            "address_2": "SUITE 1",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411853",
            "telephone_number": "319-354-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "GRACE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06765",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00617000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0470278",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James R Kay, PHARMD
• Andrew John Keinroth, D.C.
• Gary John Keller, D.O.
• Kelly Chiropractic, PLLC
• Erin Margaret Kelly, MA
• Griffin Kelly
• Nathan Peter Kepros
• Meghan P Kern
• Lindsay Ketels, M.A. CCC-SLP
• Kimberly K. Schulz

• Chiropractor in Coralville, IA
• Providers in Coralville, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.