Greg Kelley, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

20658 Issued in CA

Practice address

1077 Cass St Ste C
Monterey, CA 93940-4551

Phone

(831) 373-5636

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Back to Health Chiropractic Care

  • Chiropractor
  • Monterey, CA
  • NPI 1033364195
  NPD (past) Authorized official

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1821148834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 CASS ST STE C",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404551",
            "telephone_number": "831-373-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 CASS ST STE C",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404551",
            "telephone_number": "831-373-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "GREG",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "20658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA PIN",
            "identifier": "DC206580",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PROVIDER NUMBER",
            "identifier": "350046182",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keller Medical Institute
• Keller Veins Medical Corporation
• David W Keller III, MD
• Debra Helen Legg Keller
• Robert Keller, MD
• Lora Kelly
• Richard J Kelly, MD
• Stefanie Kelsey
• Ken Hashimoto M.D. Inc.
• Caitlin R Kenagy, PT, DPT

• Chiropractor in Monterey, CA
• Providers in Monterey, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.