Organization Active NPI

Kelty Chiropractic, PC

  • Chiropractor
  • Central Point, OR
National Provider Identifier
1922183011
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1454 Issued in OR
Legal business name
KELTY CHIROPRACTIC, PC
Practice address
650 E Pine St
Suite 101
Central Point, OR 97502-2400
Phone
(541) 664-6636
Fax
(541) 664-7071
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Authorized official

Name
Dr. Robert Mark Kelty, D.C.NPI 1770558975
Title
Director
Phone
(541) 664-6636

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1454 OR Primary

Addresses

Primary practice location

650 E Pine St
Suite 101
Central Point, OR 97502-2400

Mailing address

650 E Pine St
# 101
Central Point, OR 97502-2400
Phone (541) 664-6636

National Provider Directory

National Provider Directory

Locations

507 S Front St
Ste 2
Central Point, OR 97502
Phone (503) 664-6670

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1922183011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 E PINE ST",
            "address_2": "# 101",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022400",
            "telephone_number": "541-664-6636",
            "fax_number": "541-664-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E PINE ST",
            "address_2": "SUITE 101",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022400",
            "telephone_number": "541-664-6636",
            "fax_number": "541-664-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELTY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "KELTY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "541-664-6636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "1454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Point, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.