John Kavin Kelp, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14078 Issued in TX

Practice address

4201 Bee Cave Rd
Suite C208
Austin, TX 78746-6458

Phone

(512) 306-0115

Fax

(512) 306-1125

NPI assigned

Jan 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• JK Kelp Other 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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255486064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 BEE CAVE RD",
            "address_2": "SUITE C208",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466458",
            "telephone_number": "512-306-0115",
            "fax_number": "512-306-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 BEE CAVE RD",
            "address_2": "SUITE C208",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466458",
            "telephone_number": "512-306-0115",
            "fax_number": "512-306-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELP",
        "first_name": "JOHN",
        "middle_name": "KAVIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JK",
            "last_name": "KELP",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Monica Jurado Kelly, LCSW
• Nancy W. Kelly, PH.D., LCSW
• Samantha Ann Kelly, CPHT
• Scott Douglas Kelly, M.D.
• Melanie Kelner, LMFT, LPC
• Kelsey Balaban
• Kelsey Lee Somatic Psychotherapy PLLC
• Douglas Kelsey, P.T.
• Melanie Kelsey, PA
• Petra A Kelsey, MD

• General Practice Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.