Organization Active NPI

Kelsey Chiropractic PC

  • Chiropractor
  • Valparaiso, IN
National Provider Identifier
1952482671
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001339A Issued in IN
Legal business name
KELSEY CHIROPRACTIC PC
Practice address
402 Wall Street
Suite 22
Valparaiso, IN 46383-2563
Phone
(219) 477-4114
Fax
(219) 548-8482
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeanne Stephanie Kelsey, DCNPI 1336166073
Title
President of Professional Corp
Phone
(219) 477-4114

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 08001339A IN Primary

Addresses

Primary practice location

402 Wall Street
Suite 22
Valparaiso, IN 46383-2563

Mailing address

402 Wall Street
Suite 22
Valparaiso, IN 46383-2563
Phone (219) 477-4114

Other identifiers 1

IdentifierTypeStateIssuer
000000273199OtherINANTHEM

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952482671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 WALL STREET",
            "address_2": "SUITE 22",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832563",
            "telephone_number": "219-477-4114",
            "fax_number": "219-548-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 WALL STREET",
            "address_2": "SUITE 22",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832563",
            "telephone_number": "219-477-4114",
            "fax_number": "219-548-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELSEY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELSEY",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT OF PROFESSIONAL CORP",
        "authorized_official_telephone_number": "219-477-4114",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001339A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000273199",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.