Active NPI
Kelly Ann Dwyer, D.C.
- Chiropractor
- New York, NY
National Provider Identifier
1962477448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X011007-1
- Practice address
- 50 E 42ND St
Suite 200
New York, NY 10017-5405 - Phone
- (212) 867-0405
- NPI assigned
- Feb 20, 2006
- 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 | X011007-1 | NY | Primary |
Addresses
Primary practice location
50 E 42ND St
Suite 200
New York, NY 10017-5405
Mailing address
74 Buffalo Ave
East Atlantic Beach, NY 11561-1028
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X011007-1 | NY | MD | Chiropractor |
| 011007 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1962477448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 BUFFALO AVE",
"city": "EAST ATLANTIC BEACH",
"state": "NY",
"postal_code": "115611028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E 42ND ST",
"address_2": "SUITE 200",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100175405",
"telephone_number": "212-867-0405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWYER",
"first_name": "KELLY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X011007-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.