Kelsey Childers-Ede, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

30.024837 Issued in OH

Practice address

129 Easton St NE Ste 101
Canton, OH 44721-2488

Phone

(330) 494-3400

Fax

(330) 680-5501

NPI assigned

Jun 23, 2016

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

Enrolled in OH

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

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.

• Kelsey M. Childers-Ede, DMD, LLC

  • General Practice Dentistry
  • Akron, OH
  • NPI 1801744651
  NPD Authorized official
• Five Points Dentistry

  • General Practice Dentistry
  • Strongsville, OH
  • NPI 1437208501
  NPD (past)
• Jeffrey W Glynn

  • General Practice Dentistry
  • North Canton, OH
  • NPI 1801353206
  NPD (past)
• Merit Dental of Ohio - Nouneh, Inc

  • Dentist
  • Strongsville, OH
  • NPI 1780403691
  NPD (past)

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702771200000",
    "number": "1215388012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 EASTON ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447212488",
            "telephone_number": "330-494-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 EASTON ST NE STE 101",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447212488",
            "telephone_number": "330-494-3400",
            "fax_number": "330-680-5501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 E Washington St",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "OH",
            "postal_code": "442562196",
            "country_code": "US",
            "telephone_number": "330-725-2242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19712 W 130th St",
            "address_purpose": "LOCATION",
            "city": "Strongsville",
            "state": "OH",
            "postal_code": "44136",
            "country_code": "US",
            "telephone_number": "440-878-4444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Brittain Rd",
            "address_2": "Ste 91",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "44310",
            "country_code": "US",
            "telephone_number": "330-630-9222",
            "fax_number": "330-680-5501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILDERS-EDE",
        "first_name": "KELSEY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2023-12-17",
        "certification_date": "2023-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.024837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Cheverine, CNP
• Child and Adolescent Behavioral Health
• Child and Adolescent Behavioral Health
• Child and Adolescent Behavioral Health
• Child and Adolescent Behavioral Health
• Children'S Physicians, Inc
• Deepak Chilla, MD
• Ravi Kumar Chimalakonda, M.D
• Deborah J Chionchio
• Chiro-Care Network Inc.

• Dentist in Canton, OH
• Providers in Canton, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2023; 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.