Mary Kelly Grief, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

02462 Issued in IA

Practice address

5620 Harwood Drive
Des Moines, IA 50312-5031

Phone

(515) 321-5125

NPI assigned

Oct 2, 2023

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 names 1

• Mary Kellt Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1053191718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 HARWOOD DRIVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50312",
            "telephone_number": "515-321-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 HARWOOD DRIVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125031",
            "telephone_number": "515-321-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY GRIEF",
        "first_name": "MARY",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "IA",
            "license": "02462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "KELLT",
            "credential": "RDH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Britt Kelley, RN
• Charlotte Mary Kelley, A.R.N.P., G.N.P.
• Christopher Kelley, D.O.
• Dillon Patrick Kelley, RN
• Kellie K. Hoover, DC, PC
• Eli Kelly, DO
• Jacqueline Kelly
• Jolene Rae Kelly, PA-C
• Meghan Kelly
• Patti Sue Kelly, ARNP

• Dental Hygienist in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Dental Hygienist in Iowa

• 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.