KELLEY CHIROPRACTIC
NPI 1508034000
Chiropractor in Roseville, CA
About Kelley Chiropractic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLEY CHIROPRACTIC (NPI 1508034000) is a healthcare organization registered as a chiropractor in Roseville, California and active in the NPI registry since February 2008. The organization lists Gary C Kelley, Dr., as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelley Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Kelley Chiropractic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelley Chiropractic's NPI number?
The NPI number for Kelley Chiropractic is 1508034000. It was assigned to this organization in the NPPES registry on February 19, 2008.
Where is Kelley Chiropractic located?
Kelley Chiropractic is located at 151 N Sunrise Ave Suite 907, Roseville, CA 95661. The listed phone number is (916) 786-5828.
What is Kelley Chiropractic's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Kelley Chiropractic enrolled in Medicare?
Yes. Kelley Chiropractic is registered in the Medicare PECOS enrollment system.
When is Kelley Chiropractic's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Kelley Chiropractic?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Kelley Chiropractic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kelley Chiropractic was last updated on February 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kelley Chiropractic · NPI 1508034000
Chiropractor organization in Roseville, California. Organization record, active in the CMS NPPES registry since February 19, 2008.
## Identity
- **NPI:** 1508034000 (Entity type: Organization)
- **Enumerated:** February 19, 2008
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Gary Kelley, DR.
## Practice location
- **Address:** 151 N SUNRISE AVE, SUITE 907, Roseville, CA 95661-2924
- **Phone:** (916) 786-5828 · **Fax:** (916) 786-5055
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 19, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1508034000) · Data from the CMS NPPES public registry.