Active NPI
Kelly Buckley, D.C.
- Chiropractor
- Greenlawn, NY
National Provider Identifier
1972629012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X009978-1
- Practice address
- 755 Pulaski Rd
Greenlawn, NY 11740-1710 - Phone
- (631) 754-4333
- Fax
- (631) 754-3833
- NPI assigned
- Mar 21, 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 | X009978-1 | NY | Primary |
Addresses
Primary practice location
755 Pulaski Rd
Greenlawn, NY 11740-1710
Mailing address
755 Pulaski Rd
Greenlawn, NY 11740-1710
Phone (631) 754-4333
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 |
|---|---|---|---|
| X009978-1 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972629012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 PULASKI RD",
"city": "GREENLAWN",
"state": "NY",
"postal_code": "117401710",
"telephone_number": "631-754-4333",
"fax_number": "631-754-3833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 PULASKI RD",
"city": "GREENLAWN",
"state": "NY",
"postal_code": "117401710",
"telephone_number": "631-754-4333",
"fax_number": "631-754-3833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKLEY",
"first_name": "KELLY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X009978-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenlawn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.