Patrick John Kelley, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5401 Issued in NC

Practice address

41 Ghormley Street
Robbinsville, NC 28771

Phone

(828) 479-3937

NPI assigned

Mar 12, 2007

Sex

Male

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

Enrolled in NC

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

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.

• Kelsey Cody DDS PLLC

  • General Practice Dentistry
  • Robbinsville, NC
  • NPI 1134888415
  NPD

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1063544138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 GHORMLEY STREET",
            "city": "ROBBINSVILLE",
            "state": "NC",
            "postal_code": "28771",
            "telephone_number": "828-321-4057",
            "fax_number": "828-479-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 GHORMLEY STREET",
            "city": "ROBBINSVILLE",
            "state": "NC",
            "postal_code": "28771",
            "telephone_number": "828-479-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "PATRICK",
        "middle_name": "JOHN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "5401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Harbolt, DPT
• Wayne Kenneth Hoffman, M.D.
• Caitlin Jarrell
• Lindsay Jenkins, PHARMD
• Patricia June Johnson, M.D.
• Kelsey Cody DDS PLLC
• Kerr Drug Inc (Kerr Drug)
• Je Hoon Lee
• Lifespan, Incorporated
• Anna Frances Luley, PHARMD

• Dentist in Robbinsville, NC
• Providers in Robbinsville, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.