NPIMap

Organization Active NPI

Kellie Coleman DC LLC

  • Chiropractor
  • Marlborough, CT
National Provider Identifier
1871089359
Registry record updated Jul 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2118 Issued in CT
Legal business name
KELLIE COLEMAN DC LLC
Practice address
8 Independence Dr
Marlborough, CT 06447-1408
Phone
(860) 295-1200
NPI assigned
Jul 8, 2018
Last updated
Jul 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2018

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

Authorized official

Name
Kellie Coleman, DCNPI 1659865665
Title
Owner
Phone
(860) 478-8720

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
Chiropractor 111N00000X 2118 CT Primary

Addresses

Primary practice location

8 Independence Dr
Marlborough, CT 06447-1408

Mailing address

85 Harvest Wood Lane
Higganum, CT 06441

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1531008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531008000000",
    "number": "1871089359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 HARVEST WOOD LANE",
            "city": "HIGGANUM",
            "state": "CT",
            "postal_code": "06441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 INDEPENDENCE DR",
            "city": "MARLBOROUGH",
            "state": "CT",
            "postal_code": "064471408",
            "telephone_number": "860-295-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLIE COLEMAN DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-08",
        "last_updated": "2018-07-08",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-478-8720",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "2118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2018; 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.