Kelly Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC26074 Issued in CA

Legal business name

KELLY CHIROPRACTIC INC

Practice address

74976 US Highway 111
Indian Wells, CA 92210-7117

Phone

(760) 568-4544

Fax

(760) 568-4555

NPI assigned

Jun 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Corvin Kelly, DC

Title

Owner

Phone

(760) 568-4544

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory S McDonald, D.C.

  • Chiropractor
  • Lake Forest, CA
  • NPI 1922008671
  NPD (past)
• Angela K Prescott, P.T.

  • Physical Therapist
  • La Quinta, CA
  • NPI 1619913662
  NPD (past)
• Morton Zebrack, M.D.

  • General Practice Physician
  • Indian Wells, CA
  • NPI 1003943259
  NPD (past)

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1831351998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74976 US HIGHWAY 111",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922107117",
            "telephone_number": "760-568-4544",
            "fax_number": "760-568-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74976 US HIGHWAY 111",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922107117",
            "telephone_number": "760-568-4544",
            "fax_number": "760-568-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "CORVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-568-4544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indian Wells Psychiatry & Counseling Center Inc.
• Melissa Judnich, DPT
• Ivan T Kanno, MD
• Sarah Nicole Katz, AGPCNP
• Kayla Keith
• Corvin Kelly, D.C.
• Mark C. Kiselow, M.D.
• Rafal Ryszard Kurzawa, M.D.
• James Michael Lee, M.D.
• Melissa Lee, AMFT

• Chiropractor in Indian Wells, CA
• Providers in Indian Wells, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.