Active NPI
Kelli Mann, D.C.
- Chiropractor
- Princeton, WV
National Provider Identifier
1932488178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 814
- Practice address
- 902 Stafford Dr.
Princeton, WV 24740 - Phone
- (304) 287-8985
- Fax
- (304) 425-1680
- NPI assigned
- Aug 5, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 814 | WV | Primary |
Addresses
Primary practice location
902 Stafford Dr.
Princeton, WV 24740
Mailing address
902 Stafford Dr
Princeton, WV 24740-2405
Phone (304) 487-8985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 814 | WV | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TT&M Holdings PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406160000000",
"number": "1932488178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 STAFFORD DR",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247402405",
"telephone_number": "304-487-8985",
"fax_number": "304-425-1680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 STAFFORD DR.",
"city": "PRINCETON",
"state": "WV",
"postal_code": "24740",
"telephone_number": "304-287-8985",
"fax_number": "304-425-1680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "KELLI",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-05",
"last_updated": "2014-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WV",
"license": "814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princeton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.