Alice Ann Kelly, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

8796 Issued in NC

Practice address

991 W Hudson Blvd
Gastonia, NC 28052-6430

Phone

(704) 852-5294

NPI assigned

Jun 25, 2009

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

• Alice Ann Beam Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• James Houston Kelly DDS PA

  • Dentist
  • Gastonia, NC
  • NPI 1831593656
  NPD (past)

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1093943334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 S NEW HOPE RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545850",
            "telephone_number": "704-867-4321",
            "fax_number": "704-867-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 W HUDSON BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280526430",
            "telephone_number": "704-852-5294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ALICE",
        "middle_name": "ANN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "8796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICE",
            "last_name": "BEAM",
            "middle_name": "ANN",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jonathan Latrell Keitt
• Janet Winslow Kelchner, FNP-C
• Bailee Keller, M.S. CF-SLP
• Allison Kellerman
• Michaela Boyd Kelley, MA, LCMHC
• Danielle Rae Kelly, PNP-PC
• Roy William Kelly III, D.D.S.
• Roy William Kelly Jr., DDS
• Aimee Davis Kendall, FNP
• Jayne Kendall, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.