NPIMap

Organization Active NPI

Kelly Chiropractic, PS

  • Neurology Chiropractor
  • Vancouver, WA
National Provider Identifier
1821396078
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
CH00003084 Issued in WA
Legal business name
KELLY CHIROPRACTIC, PS
Practice address
6700 NE 162ND Ave
Suite 415
Vancouver, WA 98682-3858
Phone
(360) 882-0767
NPI assigned
Mar 10, 2011
Last updated
Mar 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Authorized official

Name
Dr. Thomas J Kelly, DC, DIBCNNPI 1811013311
Title
Chiropractic Neurologist
Phone
(360) 882-0767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X CH00003084 WA Primary

Addresses

Primary practice location

6700 NE 162ND Ave
Suite 415
Vancouver, WA 98682-3858

Mailing address

6700 NE 162ND Ave
Suite 415
Vancouver, WA 98682-3858
Phone (360) 882-0767

National Provider Directory

National Provider Directory

Locations

6700 NE 162nd Ave
Ste 415
Vancouver, WA 98682
Phone (360) 882-0767

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1821396078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 NE 162ND AVE",
            "address_2": "SUITE 415",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986823858",
            "telephone_number": "360-882-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 NE 162ND AVE",
            "address_2": "SUITE 415",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986823858",
            "telephone_number": "360-882-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY CHIROPRACTIC, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTIC NEUROLOGIST",
        "authorized_official_telephone_number": "360-882-0767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, DIBCN"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "WA",
            "license": "CH00003084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.