Kelan Oliver Connolly, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557104 Issued in VA

Practice address

545 E Market St
Leesburg, VA 20176-4172

Phone

(443) 255-4283

NPI assigned

Oct 22, 2014

Last updated

Oct 22, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palmercare Chiropractic Columbia IncGroup PAC ID 7315318474, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Palmercare Chiropractic Columbia Inc

  • Chiropractor
  • Columbia, MD
  • NPI 1306470281
  Medicare reassignment Care Compare group NPD
• Connolly Family Chiropractic LLC

  • Chiropractor
  • Leesburg, VA
  • NPI 1811392525
  Authorized official Same address or phone

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1821492620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 E MARKET ST",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764172",
            "telephone_number": "443-255-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 E MARKET ST",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764172",
            "telephone_number": "443-255-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "KELAN",
        "middle_name": "OLIVER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557104",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "471398119",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connections Health Center
• Connections Healthva-Loudoun LLC
• Connections Healthva-Loudoun LLC
• Connections Healthva-Loudoun LLC
• Connolly Family Chiropractic LLC
• Nicole Patricia Connolly, MD
• Kathleen M Connor
• John Henry Cook III, MD
• Lisa Ann Cook, PAC
• Jamille T Cooper, M.D.

• Chiropractor in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.