Kelley Downs, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN24881 Issued in FL

Practice address

9857 Old Saint Augustine Rd Ste 3
Jacksonville, FL 32257-8821

Phone

(904) 853-9068

NPI assigned

Jun 19, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kelley Fischer Former 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": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673049600000",
    "number": "1104442722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11032 BUGGY WHIP DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322573639",
            "telephone_number": "419-205-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9857 OLD SAINT AUGUSTINE RD STE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578821",
            "telephone_number": "904-853-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNS",
        "first_name": "KELLEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2023-01-07",
        "certification_date": "2023-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN24881",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN24881",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLEY",
            "last_name": "FISCHER",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas Jackson Downey, P.A.C.
• Allison Downing, PHARMD
• Jada Gordon Downing, P.T.
• Downs and Fetner, PLLC
• Bryan Downs, DPT
• Kelly Downs
• Downtown Dental Associates
• Freda D Doxey, LMHC
• Emily Doyle, RDN
• Georgia Ann Doyle, D.O.

• Pediatric Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.