KELLY CHIROPRACTIC CENTER, PA – NPI #1356446926
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

KELLY CHIROPRACTIC CENTER, PA is a chiropractor located in MINOT, ND. NPPES has assigned the NPI number 1356446926 to KELLY CHIROPRACTIC CENTER, PA on September 14, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 111N00000X from the Health Care Provider Taxonomy code set, which is classified as Chiropractor.

The NPI profile was previously updated about 7 years ago on Sep 17, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KELLY CHIROPRACTIC CENTER, PA below.

NPI Profile for
KELLY CHIROPRACTIC CENTER, PA

NPI Number
1356446926
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KELLY CHIROPRACTIC CENTER, PA
Primary location
1825 16TH ST SW
MINOT, ND 58701-6428
Phone: (701) 838-5000 Fax: (701) 852-1184
Mailing address
PO BOX 1483
MINOT, ND 58702-1483
Phone: (701) 838-5000 Fax: (701) 852-1184
Organization Subpart
No
Authorized Official
CHAD KELLY
CHIROPRACTOR/OWNER
Phone: (910) 214-6887
Updated
Identifiers

Identifiers for KELLY CHIROPRACTIC CENTER, PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNC890841K
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
111N00000X
- Chiropractor (Primary)
NC 2714

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.