Carolyn Kelly Mueller, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10544 Issued in NC

Practice address

89 N Mitchell Ave
Bakersville, NC 28705-6502

Phone

(828) 537-5991

Fax

(732) 393-8492

NPI assigned

Apr 24, 2007

Last updated

Sep 9, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Carolyn Elise Kelly Former name

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

State licenses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1164641718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 LONGBRANCH TRL",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272955947",
            "telephone_number": "717-599-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 N MITCHELL AVE",
            "city": "BAKERSVILLE",
            "state": "NC",
            "postal_code": "287056502",
            "telephone_number": "828-537-5991",
            "fax_number": "732-393-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY MUELLER",
        "first_name": "CAROLYN",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS026298L",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "KELLY",
            "middle_name": "ELISE",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anthony Lawson Hudson, PHARMD
• Stephen Wray James, MD
• Jacob Jarrett, MMS, PA-C
• Jordon Baker Acquisitions, Inc. (Roan Mountain Pharmacy of Bakersville LTC)
• Jordon Baker Acquisitions, Inc. (Roan Mountain Pharmacy of Bakersville)
• Laboratory Corporation of America Holdings
• Kong Peng Lor
• Laura Kathryn Loudin
• Samantha S McIntosh, FNP
• MH Mission Hospital, LLLP (Mitchell EMS)

• General Practice Dentistry in Bakersville, NC
• Providers in Bakersville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.