Kelly Greenlee, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6588 Issued in OK

Practice address

1908 S Post Rd BLDG 1
Oklahoma City, OK 73130-6600

Phone

(405) 732-2230

NPI assigned

Jun 2, 2014

Last updated

Mar 28, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 13, 2020 through Mar 13, 2028

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Robert W. Utecht, D.D.S., Inc.

  • Dental Clinic/Center
  • Midwest City, OK
  • NPI 1235270083
  NPD (past)

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1114339660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 HORSEPEN RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731738854",
            "telephone_number": "405-503-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 S POST RD BLDG 1",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731306600",
            "telephone_number": "405-732-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENLEE",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Sue Greenfield, ED.D.
• Lauren Greenfield
• Cody Greenhaw, OD
• Brandi Teresa Greenhoward
• Jeremy Greenlee
• Barry P. Greenley, D.D.S.
• Christy Greenly, APRN, CNP
• Mary Carolyn Greenough, MD
• Ken James Greenshields
• Roy Mack Greenway Jr., MD, FACS

• Dentist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.