Active NPI
Robert Niles Kelley, DC
- Chiropractor
- Anacortes, WA
National Provider Identifier
1801974092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1450
- Practice address
- 1101 8TH St Ste B
Anacortes, WA 98221-1800 - Phone
- (360) 982-2881
- Fax
- (360) 899-5846
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1450 | WA | Primary |
Addresses
Primary practice location
1101 8TH St Ste B
Anacortes, WA 98221-1800
Mailing address
1101 8TH St Ste B
Anacortes, WA 98221-1800
Phone (360) 982-2881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1978
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1101 8TH St
Suite B
Anacortes, WA 98221-1800
Phone (360) 982-2881
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toppenish Chiropractic Clinic, PS | Chiropractor | Past | Accepting new patients |
| Back Health Plus, LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Chiropractor
- Anacortes, WA
- NPI 1235353897
-
- Chiropractor
- Silverdale, WA
- NPI 1023196243
-
- Chiropractor
- Toppenish, WA
- NPI 1750503934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550361600000",
"number": "1801974092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 8TH ST STE B",
"city": "ANACORTES",
"state": "WA",
"postal_code": "982211800",
"telephone_number": "360-982-2881",
"fax_number": "360-899-5846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 8TH ST STE B",
"city": "ANACORTES",
"state": "WA",
"postal_code": "982211800",
"telephone_number": "360-982-2881",
"fax_number": "360-899-5846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "ROBERT",
"middle_name": "NILES",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2019-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "1450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anacortes, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2019; 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.