DR. SHANE M KELLY (NPI# 1407941552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407941552 |
| Entity Type | Individual |
| Full Name | DR. SHANE M KELLY |
| Credential | DC |
| Practice Address |
1445 N Loop West Suite 120 Houston TX 77008-1654 |
| Practice Telephone | 7138649355 |
| Practice Fax Number | 7138647211 |
| Mailing Telephone | 7138649355 |
| Mailing Fax Number | 7138647211 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | TX8144 | TX | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528479755 | Shane Kelly | Counselor | 3061 Garden Cir, Unit C, Cameron Park, CA 95682-8557 | 2014-05-09 |
| 1710486832 | Shane Pitman Kelly | Chiropractor | 10803 Vista Sorrento Pkwy, San Diego, CA 92121-2792 | 2018-02-04 |
| 1346695152 | Shane Patrick Kelly | Pharmacist | 839 Farmington Ave, Bristol, CT 06010-3922 | 2016-04-29 |
| Street Address |
1445 N LOOP WEST SUITE 120 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77008-1654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255515318 | Shane M Kelly Dc Inc | Chiropractor | 1445 N Loop West, Suite 120, Houston, TX 77008-1654 | 2007-12-26 |
| 1760608756 | Jack Monroe Neagle | Dentist | 1445 N Loop West, Suite 1000, Houston, TX 77008 | 2007-04-18 |
| 1114143104 | Mary Ann Grace Sagullo | Dentist | 1445 N Loop West, Suite 1000, Houston, TX 77008 | 2007-04-18 |
| 1568688554 | Tim Alan Farrell | Dentist | 1445 N Loop West, Suite 1000, Houston, TX 77008 | 2007-04-18 |
| 1215153416 | Kent Jay Hinrichsen | Dentist | 1445 N Loop West, Suite 1000, Houston, TX 77008 | 2007-04-17 |
| 1932325149 | Quyen Bich Chau | Dentist | 1445 N Loop West, Suite 1000, Houston, TX 77008 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891337606 | Fairway Chiropractic Heights | Chiropractor | 1904 W 18th Street, Houston, TX 77008 | 2019-10-14 |
| 1174084743 | Heights Hospice Care, LLC | Hospice Care, Community Based | 1419 West 24th Street, Houston, TX 77008 | 2019-03-27 |
| 1831679976 | Dentini Pediatric Dentistry | Dentist | 2723 Yale Street, Suite 104, Houston, TX 77008 | 2018-08-17 |
| 1326539487 | Lindsay Disidore | Music Therapist | 1538 Lawrence St., Houston, TX 77008 | 2018-05-24 |
| 1619496791 | Smilestone Dental, Pllc | Dentist | 2105 Yale St, Houston, TX 77008 | 2017-09-11 |
| 1306362280 | Jennifer Josey | Counselor | 448 W.19th St. #294, Houston, TX 77008 | 2017-08-22 |
| 1104340942 | Height Mint Dentistry Pllc | Clinic/Center | 2225 N. Shepard Dr, Houston, TX 77008 | 2017-08-02 |
| 1609390285 | Susan Aurich | Chiropractor | 621 W. 19th St., Houston, TX 77008 | 2017-07-26 |
| 1104351493 | Zuleikha Elizabeth Tyebjee | Family Medicine | 1001 Studewood St., Suite 200b, Houston, TX 77008 | 2017-04-25 |
| 1346789211 | Accommodative Healthcare LLC | Day Training, Developmentally Disabled Services | 1235 North Loop Suite #1015, Houston, TX 77008 | 2017-02-13 |
| Find all providers in zip 77008 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395166 | Henry Pham | Chiropractor | 8900 Lakes At 610 Dr Apt 322, Houston, TX 77054-2881 | 2020-10-27 |
| 1023615408 | Alma Therapeutic LLC | Chiropractor | 6201 Bonhomme Rd Ste 340n, Houston, TX 77036-4430 | 2020-10-08 |
| 1306453402 | Kayla Shea Day | Chiropractor | 1 City Club Dr, Houston, TX 77046-4602 | 2020-09-23 |
| 1255946059 | All Health Medical & Rehab, Pllc | Chiropractor | 6831 Navigation Blvd, Houston, TX 77011-1452 | 2020-09-09 |
| 1114545266 | Peak Potential Houston Heights LLC | Chiropractor | 6212 N Main St Ste C, Houston, TX 77009-2496 | 2020-07-06 |
| 1770108326 | Alicia Danielle Burns | Chiropractor | 1120 Nasa Pkwy Ste 324, Houston, TX 77058-3366 | 2020-06-09 |
| 1417577065 | Bryan David Valdez | Chiropractor | 8151 Silent Cedars Dr, Houston, TX 77095-1814 | 2020-04-23 |
| 1346878329 | Tanya N Young | Chiropractor | 2120 Capitol St Apt 3407, Houston, TX 77003-3146 | 2020-03-27 |
| 1336774736 | Hinal Patel | Chiropractor | 13040 Fm 529 Rd. Ste. G, Houston, TX 77041 | 2020-03-05 |
| 1568097020 | Abraham Angel Gutierrez Jr. | Chiropractor | 1533 N Shepherd Dr # 240, Houston, TX 77008-3755 | 2020-03-05 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.