Individual provider Active NPI

Alyson Hooper Kelly, DMD

  • General Practice Dentistry
  • Hampstead, NC
National Provider Identifier
1073745253
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9862 Issued in NC
Practice address
16717 US Highway 17 N
Suite 224
Hampstead, NC 28443-3696
Phone
(910) 270-0728
NPI assigned
Aug 20, 2009
Last updated
Aug 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN18765 FL
General Practice Dentistry 1223G0001X 9862 NC Primary

Addresses

Primary practice location

16717 US Highway 17 N
Suite 224
Hampstead, NC 28443-3696

Mailing address

481 Landsdowne Cir
Hampstead, NC 28443-3912
Phone (239) 872-9832

Other names 1

  • Dr. Alyson Marie Hooper Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN18765FLMDGeneral Practice Dentistry
9862NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
R. Tim Powell DDS PA General Practice Past Accepting new patients
Stephen G Olmstead III, DMD, PA PastSince Feb 11, 2019 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407715200000",
    "number": "1073745253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 LANDSDOWNE CIR",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433912",
            "telephone_number": "239-872-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16717 US HIGHWAY 17 N",
            "address_2": "SUITE 224",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433696",
            "telephone_number": "910-270-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ALYSON",
        "middle_name": "HOOPER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2014-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18765",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSON",
            "last_name": "HOOPER",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hampstead, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.