Andrea Kelly, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

3487 Issued in WV

Practice address

2908 Auburn Rd
Huntington, WV 25704-2715

Phone

(304) 781-5800

NPI assigned

Jan 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: akelly19895@valleyhealthsystems.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Valley Health Systems Inc

  • Federally Qualified Health Center (FQHC)
  • Huntington, WV
  • NPI 1477216919

  Dentist

  Medicare reassignment NPD
• Valley Health Systems Inc

  • Federally Qualified Health Center (FQHC)
  • Huntington, WV
  • NPI 1720333461

  Dentist

  Medicare reassignment NPD
• Valley Health Systems Inc

  • Federally Qualified Health Center (FQHC)
  • Huntington, WV
  • NPI 1902962368
  Medicare reassignment NPD
• Valley Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Milton, WV
  • NPI 1548542277

  Dentist

  Medicare reassignment NPD
• Valley Health Systems Inc

  • Clinical Medical Laboratory
  • Huntington, WV
  • NPI 1023083854
  NPD
• Valley Health Systems Inc

  • Federally Qualified Health Center (FQHC)
  • Fort Gay, WV
  • NPI 1083694756

  Dentist

  NPD
• Valley Health Systems Inc

  • Obstetrics & Gynecology Physician
  • Huntington, WV
  • NPI 1184699415
  NPD
• Valley Health Systems Inc

  • Federally Qualified Health Center (FQHC)
  • Hurricane, WV
  • NPI 1225154206
  NPD
• Valley Health Systems Inc

  • Federally Qualified Health Center (FQHC)
  • Ona, WV
  • NPI 1417923236
  NPD
• Valley Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Huntington, WV
  • NPI 1508720913
  NPD

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1023098811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1680",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257171680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 AUBURN RD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257042715",
            "telephone_number": "304-781-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Donohoe Dr",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257058887",
            "country_code": "US",
            "telephone_number": "304-399-3310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ANDREA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "3487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60002029",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2408513",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4002196000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Kelley
• Katlyn Kelley
• Makayla Kelley
• Cassandra Kellogg
• Allen Kelly
• Ashley Mae Kelly
• Kimberly Jo Kelly, C-FNP
• Michelle Kelly
• Patricia Kelly, MD
• Tesheika Michelle Kelly

• Dentist in Huntington, WV
• Providers in Huntington, WV by specialty
• Dentist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.