DR. KELLY SHOCKLEY (NPI# 1184778052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184778052 |
| Entity Type | Individual |
| Full Name | DR. KELLY SHOCKLEY |
| Credential | D.C. |
| Practice Address |
9137 E Mineral Cir Ste 380 Centennial CO 80112-3424 |
| Practice Telephone | 3037907650 |
| Practice Fax Number | 3037907426 |
| Mailing Telephone | 3037907650 |
| Mailing Fax Number | 3037907426 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
5796 | CO | Chiropractic Providers |
| Street Address |
9137 E MINERAL CIR STE 380 |
| City | CENTENNIAL |
| State | CO |
| Zip Code | 80112-3424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750921177 | Natalie Jo Stevenson | Social Worker | 12835 E Arapahoe Rd., Tower 2, Suite 400, Centennial, CO 80112 | 2020-01-14 |
| 1033757109 | Sauder Psychology, Inc | Psychologist | 9085 E. Mineral Cir, Suite 235, Centennial, CO 80112 | 2019-12-19 |
| 1588213581 | Myappstorebiz | Special Hospital | 13033 E Adam Aircraft Circle B 53, Englewood, CO 80112 | 2019-09-11 |
| 1669930319 | Linked To Craig 501c3 | Dentist | 9085 E. Mineral Circle, Suite 350, Centennial, CO 80112 | 2019-03-12 |
| 1528538311 | Cherish Mitchell | Behavior Technician | 12660 E Briarwood Ave, Suite 207, Centennial, CO 80112 | 2018-12-05 |
| 1144706920 | Margaret Mary Froehlke | Homemaker | 6278 E Jamison Dr, Centennial, CO 80112 | 2018-07-16 |
| 1376038240 | Elizabeth Ann Dickason | Physician Assistant | 9094 East Mineral Avenue, #100, Englewood, CO 80112 | 2018-06-24 |
| 1770075467 | Dry Creek Surgery Center, LLC | Clinic/Center | 125 Inverness Dr E Ste 150, Englewood, CO 80112 | 2018-05-30 |
| 1639669476 | Uchealth Ambulatory Surgery Centers | Clinic/Center | 175 Inverness Drive West, Englewood, CO 80112 | 2018-05-17 |
| 1427545227 | Patterns Behavioral Services Colorado Inc | Assistant Behavior Analyst | 7600 E Arapahoe Rd Ste 211, Centennial, CO 80112 | 2018-04-17 |
| Find all providers in zip 80112 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063766723 | Clyde Francis Johnson | Chiropractor | 7940 S University Blvd, Ste 100, Centennial, CO 80122-5104 | 2012-11-02 |
| 1356489744 | Marc Alan Garfinkel | Chiropractor | 6881 S Holly Cir Ste 207, Centennial, CO 80112-1145 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518523752 | Grant M Smith | Chiropractor | 4161 S Verbena St, Denver, CO 80237-1747 | 2019-05-14 |
| 1124587308 | Devyn Christian | Chiropractor | 6850 W 116th Ave Ste A, Broomfield, CO 80020-0414 | 2019-03-18 |
| 1164996690 | James Westover | Chiropractor | 6161 W 44th Ave Ste 100, Wheat Ridge, CO 80033-4764 | 2019-01-17 |
| 1629550389 | Oakley Almberg | Chiropractor | 1415 Park Ave W, Denver, CO 80205-2103 | 2018-08-29 |
| 1528570280 | Core Mountain Chiropractic Clinic | Chiropractor | 13982 W Bowles Ave Ste 102, Littleton, CO 80127-1444 | 2017-11-02 |
| 1396255568 | Colorado Sports Chiropractic | Chiropractor | 1440 28th St Ste 2, Boulder, CO 80303 | 2017-10-02 |
| 1043762636 | Action Spine & Sports Medicine | Chiropractor | 2209 Larimer St, Denver, CO 80205-2094 | 2016-10-29 |
| 1548626088 | John Michael Minen | Chiropractor | 2299 Pearl St Ste 105, Boulder, CO 80302-4669 | 2016-01-13 |
| 1407229701 | Anthony Paul Gurule Jr. | Chiropractor | 1255 Cimarron Dr, Ste 201, Lafayette, CO 80026-1283 | 2015-11-09 |
| 1043635790 | Holy Cross Chiropractic | Chiropractor | 376 Pine Street, Minturn, CO 81645 | 2014-03-04 |
| Find all providers with the same taxonomy | ||||
| City | CENTENNIAL |
| Zip Code | 80112 |
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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.