Active NPI
Eric Kelly, DC
- Chiropractor
- Cheshire, CT
National Provider Identifier
1811964810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 001614
- Practice address
- 366 S Main St
Cheshire, CT 06410-3115 - Phone
- (203) 271-1316
- NPI assigned
- Mar 8, 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 | 001614 | CT | Primary |
Addresses
Primary practice location
366 S Main St
Cheshire, CT 06410-3115
Mailing address
9 Beacon Ave
New Haven, CT 06512-1970
Phone (203) 444-5848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
40 Hart St
New Britain, CT 06052-1759
Phone (860) 793-3500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001614 | CT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back to Health of Branford, LLC | Chiropractor | Past | Accepting new patients |
Interoperability endpoints
- eric.kelly.p1@direct.wheelerclinic.nextgenshare.com
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Plainville, CT
- NPI 1396750840
-
- Internal Medicine Physician
- Branford, CT
- NPI 1215958772
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221177600000",
"number": "1811964810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 BEACON AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065121970",
"telephone_number": "203-444-5848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "366 S MAIN ST",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064103115",
"telephone_number": "203-271-1316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "ERIC",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2008-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "001614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheshire, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.