Active NPI
Mary P Kelly, D.C.
- Chiropractor
- Waterloo, IA
National Provider Identifier
1922280387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06386
- Practice address
- 3602 Kimball Ave
Waterloo, IA 50702-5731 - Phone
- (319) 233-9355
- NPI assigned
- Nov 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 06386 | IA | Primary |
Addresses
Primary practice location
3602 Kimball Ave
Waterloo, IA 50702-5731
Mailing address
904 Hudson Rd
Cedar Falls, IA 50613-2305
Phone (319) 415-3062
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3602 Kimball Ave
Waterloo, IA 50702-5731
Phone (319) 236-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06386 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kuhn Chiropractic, PC | Chiropractor | Current | Accepting new patients |
| Gress Chiropractic Clinic, LLC | Chiropractor | Past | Accepting new patients |
| Dr. Bradley Kristiansen Chiropractic, P.C. | Chiropractor | Past | Accepting new patients |
| Advanced Health | Past | Accepting new patients | |
| Synergy Chiropractic & Wellness Center | Chiropractor | Past | Accepting new patients |
Locations
1125 W 4th St
Ste A
Waterloo, IA 50702
Phone (319) 233-9355
3602 Kimball Ave
Waterloo, IA 50702
Phone (319) 233-9355
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Waterloo, IA
- NPI 1831371319
-
- Chiropractor
- Cedar Falls, IA
- NPI 1578996294
-
- Chiropractor
- Cedar Rapids, IA
- NPI 1063613230
-
- Neurology Chiropractor
- Rhinelander, WI
- NPI 1881892636
-
- Chiropractor
- Merrill, WI
- NPI 1578618187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1922280387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 HUDSON RD",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "506132305",
"telephone_number": "319-415-3062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3602 KIMBALL AVE",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507025731",
"telephone_number": "319-233-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "MARY",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-28",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "06386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.