Kelly F. Viau, D.D.S., P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

8245 Issued in NC

Legal business name

KELLY F. VIAU, D.D.S., P.A.

Practice address

103 N Salem St
Apex, NC 27502-1427

Phone

(919) 362-8797

Fax

(919) 362-1476

NPI assigned

Oct 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Kelly Frye Viau, D.D.S.

Title

President

Phone

(919) 362-8797

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Peak City Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1380931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380931200000",
    "number": "1215364252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N SALEM ST",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275021427",
            "telephone_number": "919-362-8797",
            "fax_number": "919-362-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N SALEM ST",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275021427",
            "telephone_number": "919-362-8797",
            "fax_number": "919-362-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY F. VIAU, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-05",
        "last_updated": "2013-10-05",
        "status": "A",
        "authorized_official_last_name": "VIAU",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "FRYE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-362-8797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "8245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5904125",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak City Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacey Ann Keith, M.S., CCC-SLP
• Kelley Counseling
• Elizabeth Anne Kelley
• Paticia Annette Kelley, RN
• Elizabeth M. Kellner
• Caroline Conn Kelly, BCBA
• Joel Daniel Kelly, DPM
• Meredith Kelly, DPT, CERT. DN, BFR
• Tydarian Roshawn Kelly
• Shannon Grace Kenna, OTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2013; 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.