Active NPI
Stephanie Kelley, DDS
- Dentist
- Amarillo, TX
National Provider Identifier
1265312649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 41967
- Practice address
- 7200 SW 45TH Ave Unit 5
Amarillo, TX 79109-5084 - Phone
- (806) 677-0202
- NPI assigned
- Sep 5, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 41967 | TX | Primary |
Addresses
Primary practice location
7200 SW 45TH Ave Unit 5
Amarillo, TX 79109-5084
Mailing address
22375 Dominguez Dr
Porter, TX 77365-7146
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41967 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yellow City Smiles PLLC | Current | Accepting new patients |
Locations
7200 SW 45th Ave
Unit 5
Amarillo, TX 79109
Phone (806) 677-0202
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1265312649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22375 DOMINGUEZ DR",
"city": "PORTER",
"state": "TX",
"postal_code": "773657146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 SW 45TH AVE UNIT 5",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791095084",
"telephone_number": "806-677-0202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "STEPHANIE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-05",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "41967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.