KELLY CHIROPRACTIC CLINIC, LLC
NPI 1760082705
Chiropractor in Berkley, MI

Q: What is Kelly Chiropractic Clinic, LLC's NPI number?

The NPI number for Kelly Chiropractic Clinic, LLC is 1760082705. It was assigned to this organization in the NPPES registry on October 29, 2020. The provider is doing business as Berkley Chiropractic.

Q: What is Kelly Chiropractic Clinic, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since October 29, 2020

3179 12 MILE RD, BERKLEY, MI 48072(773) 251-4006 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Kelly Chiropractic Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY CHIROPRACTIC CLINIC, LLC (NPI 1760082705), doing business as Berkley Chiropractic, is a healthcare organization registered as a chiropractor in Berkley, Michigan and active in the NPI registry since October 2020. The organization lists Stephanie Josephine Kelly, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1760082705

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameKELLY CHIROPRACTIC CLINIC, LLC

Location Address3179 12 MILE RDBerkley, MI 48072-1339

Mailing Address3179 12 Mile RdBerkley, MI 48072-1339 · (773) 251-4006

Phone(773) 251-4006

Organization SubpartNo

Authorized OfficialStephanie Josephine KellySole Owner · (773) 251-4006

Enumeration DateOctober 29, 2020

NPPES CertifiedOctober 28, 2020

✔ NPI 1760082705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Definition

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.

3179 12 MILE RD, Berkley, MI 48072

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Other Names 1

Doing Business AsBerkley Chiropractic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Chiropractic Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kelly Chiropractic Clinic, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Stephanie Kelly, D.C.

Chiropractic

NPI 1417282864

3302 CROOKS RD
Royal Oak, MI 48073

(248) 629-6071

✔ Accepts Medicare1.8 mi

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 Kelly Chiropractic Clinic, LLC's NPI number?

The NPI number for Kelly Chiropractic Clinic, LLC is 1760082705. It was assigned to this organization in the NPPES registry on October 29, 2020. The provider is doing business as Berkley Chiropractic.

Where is Kelly Chiropractic Clinic, LLC located?

Kelly Chiropractic Clinic, LLC is located at 3179 12 Mile Rd, Berkley, MI 48072. The listed phone number is (773) 251-4006.

What is Kelly Chiropractic Clinic, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kelly Chiropractic Clinic, LLC enrolled in Medicare?

Yes. Kelly Chiropractic Clinic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kelly Chiropractic Clinic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Kelly Chiropractic Clinic, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kelly Chiropractic Clinic, LLC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Kelly Chiropractic Clinic, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Chiropractic Clinic, LLC was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.