Kelly J Downes DC PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X0107201 Issued in NY

Legal business name

KELLY J DOWNES DC PLLC

Practice address

1626 Sagg Rd
Sag Harbor, NY 11963-3935

Phone

(631) 725-2018

Fax

(631) 725-2018

NPI assigned

Apr 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kelly J Downes, D C

Title

Sole Member

Phone

(631) 725-2018

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1982847521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 SAGG ROAD",
            "address_2": "PO BOX 1229",
            "city": "SAG HARBOR",
            "state": "NY",
            "postal_code": "119630044",
            "telephone_number": "631-725-2018",
            "fax_number": "631-725-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 SAGG RD",
            "city": "SAG HARBOR",
            "state": "NY",
            "postal_code": "119633935",
            "telephone_number": "631-725-2018",
            "fax_number": "631-725-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY J DOWNES DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "DOWNES",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "631-725-2018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0107201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Sag Harbor, NY
• Providers in Sag Harbor, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.