NPIMap

Organization Active NPI

DRS. Kelley & Thebes, Inc

  • General Practice Dentistry
  • Perrysburg, OH
National Provider Identifier
1023168408
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17983 Issued in OH
Legal business name
DRS. KELLEY & THEBES, INC
Practice address
13003 Roachton Rd
Perrysburg, OH 43551-1357
Phone
(419) 874-7071
Fax
(419) 874-2814
NPI assigned
Jan 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kris S Kelley, DDSNPI 1487747739
Title
President
Phone
(419) 874-7071

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 17983 OH Primary

Addresses

Primary practice location

13003 Roachton Rd
Perrysburg, OH 43551-1357

Mailing address

13003 Roachton Rd
Perrysburg, OH 43551-1357
Phone (419) 874-7071

National Provider Directory

National Provider Directory

Locations

13003 Roachton Rd
Perrysburg, OH 43551
Phone (419) 874-7071

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023168408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13003 ROACHTON RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511357",
            "telephone_number": "419-874-7071",
            "fax_number": "419-874-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13003 ROACHTON RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511357",
            "telephone_number": "419-874-7071",
            "fax_number": "419-874-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. KELLEY & THEBES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-874-7071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "17983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.