MR. KELLY CHRISTOPHER GOLOB (DC) – Chiropractor, NPI 1902100639

MR. KELLY CHRISTOPHER GOLOB (DC) is a healthcare provider. based in Tumwater, Washington. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. CH60198422 (WA). The NPI Number for MR. KELLY CHRISTOPHER GOLOB (DC) is 1902100639

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
MR. KELLY CHRISTOPHER GOLOB (DC)
NPI
1902100639
Phone
(360) 570-9580
Address
128 D ST SW STE A
Enumeration Date
10 January 2011
Last Update Date
10 January 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3605709580
Graduation Year
2010 (16 years ago)
PAC ID
0244412880
Group Practice PAC ID
4385669985
Professional Enrollment ID
I20110303000392
Address ID
WA985014064TU128XXSWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,415 CHIROPRACTIC in WA

Provider Addresses for MR. KELLY CHRISTOPHER GOLOB (DC)

  • 128 D ST SW STE A

    TUMWATER, WA 985014064

    Phone: (360) 570-9580

    Fax: (360) 570-9583

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-03-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110303000392IChiropracticWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions38056$0
View full utilization report →

Insurance plans in this area (ZIP 98501)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385669985View full group profile
NameSpecialtyState
C H I R O P R A C T I CWA
Chiropractic, Sports MedicineWA
C H I R O P R A C T I CWA
C H I R O P R A C T I CWA
-WA
C H I R O P R A C T I CWA
C H I R O P R A C T I CWA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify MR. KELLY CHRISTOPHER GOLOB (DC) with an NPI only?
You can start verification with NPI 1902100639 for MR. KELLY CHRISTOPHER GOLOB (DC), then check state licensing separately.
Can I rely on MR. KELLY CHRISTOPHER GOLOB (DC) being an active provider?
As of the registry snapshot, MR. KELLY CHRISTOPHER GOLOB (DC) is marked active.
What is MR. KELLY CHRISTOPHER GOLOB (DC)'s primary classification?
Chiropractor is the headline specialty for MR. KELLY CHRISTOPHER GOLOB (DC) here. Clinical services aligned with this taxonomy classification.
Where is MR. KELLY CHRISTOPHER GOLOB (DC) based?
MR. KELLY CHRISTOPHER GOLOB (DC) is tied to Tumwater, Washington in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

Olympia Post Office, 8-10, North End Road, West Kensington, London Borough of Hammersmith and Fulham, Greater London, England, W14 0SH, United Kingdom
NPI: 1811963010
2330 MOTTMAN RD SW STE 106
NPI: 1598728370
100 RUBY ST
NPI: 1083679328
204, Pinehurst Drive Southwest, Tumwater, Thurston County, Washington, 98501, United States
NPI: 1023062494
1526, Bishop Road Southwest, Tumwater, Thurston County, Washington, 98512, United States
NPI: 1841229242
284 LEE ST SW STE 128
NPI: 1194737072
PO BOX 11542
NPI: 1497768345
3528 13TH AVE SW STE A
NPI: 1538273156
Bishop Road Southwest, Tumwater, Thurston County, Washington, 98501-5414, United States
NPI: 1215045794