Georgene Terese Kelley-Rondero, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

42166 Issued in CA

Practice address

1503 North Imperial Avenue, Ste 204
El Centro, CA 92251

Phone

(760) 353-7670

Fax

(760) 353-1722

NPI assigned

Mar 17, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1023077229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 NORTH IMPERIAL AVENUE, STE 204",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "92251",
            "telephone_number": "760-353-7670",
            "fax_number": "760-353-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 NORTH IMPERIAL AVENUE, STE 204",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "92251",
            "telephone_number": "760-353-7670",
            "fax_number": "760-353-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY-RONDERO",
        "first_name": "GEORGENE",
        "middle_name": "TERESE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "42166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Kaufman
• Lawrence Kazzazi, OD
• Edna Keefer
• Sheila Kellenbeck
• Dawn Michele Kelley-Lewis, NURSE PRACTITIONER
• Kenneth B. Rehm, D.P.M.
• Kenneth Stephan Brown MD a Professional Corporation
• Hamlet Khachatryan, DDS
• Waqar Arshad Khan, MD
• Khorsand DMD Inc

• Dentist in El Centro, CA
• Providers in El Centro, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.