Kelsey Ann Evelyn, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

21377 Issued in MA

Practice address

511 W Grove St Ste 205
Middleboro, MA 02346-1458

Phone

(774) 260-5222

Fax

(774) 260-5255

NPI assigned

May 22, 2007

Last updated

May 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Circle Endodontics PC

  • Dental Clinic/Center
  • Middleboro, MA
  • NPI 1578200226
  NPD Authorized official

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1285843656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 W GROVE ST STE 205",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023461458",
            "telephone_number": "617-869-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W GROVE ST STE 205",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023461458",
            "telephone_number": "774-260-5222",
            "fax_number": "774-260-5255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Church Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Wareham",
            "state": "MA",
            "postal_code": "025712093",
            "country_code": "US",
            "telephone_number": "508-273-0110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVELYN",
        "first_name": "KELSEY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "DN21377",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "21377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leyla Erguder, PHD
• William Erwin, MA
• McKenzie Lauren Espero, LMHC
• Essence Community Acupuncture & Herbs LLC
• Elizabeth Estrela
• Fair Havens Inc. (Fair Havens Rest Home)
• Dorothy Farrell, LMHC
• Heather Dawn Faustino
• Catalina P Felix-Angeles
• Kasia Filipek-Moskal, M.D.

• Endodontics in Middleboro, MA
• Providers in Middleboro, MA by specialty
• Endodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.