Kelly D Harris DC PA
NPI 1174889372 · Chiropractor · Idaho Falls, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly D Harris DC PA is a Chiropractor organization in Idaho Falls, ID (NPI 1174889372).
Provider details
- NPI number
- 1174889372
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Kelly Harris, Owner(208) 522-2122
- License
- CHIA511 (ID)
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-04-02
- Last updated
- 2012-04-02
Frequently asked questions
- What is Kelly D Harris DC PA's NPI number?
- Kelly D Harris DC PA's National Provider Identifier (NPI) is 1174889372, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kelly D Harris DC PA?
- Kelly D Harris DC PA is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Kelly D Harris DC PA located?
- Kelly D Harris DC PA's practice location on file with NPPES is 211 S Woodruff Ave Ste A1, Idaho Falls, ID 83401-4865.
- What is Kelly D Harris DC PA's phone number?
- The practice phone number listed in the NPPES registry for Kelly D Harris DC PA is (208) 522-2122.
- Does Kelly D Harris DC PA accept Medicare?
- Kelly D Harris DC PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kelly D Harris DC PA?
- The authorized official listed on Kelly D Harris DC PA's NPPES record is Kelly Harris, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kelly D Harris DC PA's NPI active?
- Yes — Kelly D Harris DC PA's NPI (1174889372) is active in the NPPES registry as of the last update on 2012-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.