Kelly Moore Meador, DMD PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KELLY MOORE MEADOR, DMD PLLC

Practice address

5150 Taylor Mill Rd
Taylor Mill, KY 41015-2158

Phone

(859) 491-3411

Fax

(859) 491-3417

NPI assigned

Oct 2, 2023

Organization subpart

No

Name

Dr. Kelly Suzann Moore Meador, DMDNPI 1588893168

Title

Dentist

Phone

(859) 322-4060

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Suzann Moore Meador, DMD

  • General Practice Dentistry
  • Taylor Mill, KY
  • NPI 1588893168
  NPD Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 2, 2023.

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1043090673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 TAYLOR MILL RD",
            "city": "TAYLOR MILL",
            "state": "KY",
            "postal_code": "410152158",
            "telephone_number": "859-491-3411",
            "fax_number": "859-491-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 TAYLOR MILL RD",
            "city": "TAYLOR MILL",
            "state": "KY",
            "postal_code": "410152158",
            "telephone_number": "859-491-3411",
            "fax_number": "859-491-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY MOORE MEADOR, DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "MOORE MEADOR",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "SUZANN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "859-322-4060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Dianne Gibson, M. A., PSC
• Lauren Zeris Greely
• Philip Andrew Hartman, M.D.
• Kyla Henderson
• Eve Kavanaugh, RN
• Alissa Ray Lenz-Laporta, DO
• Simon A. Lovasco, M.D.
• Mark Edward Middendorf, MD
• Kelly Suzann Moore Meador, DMD
• Dianne Petrehn Moser, RPH

• All providers in Taylor Mill, KY
• Dental Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.