Individual provider Active NPI

Kelly Isabel Joseph, DMD

  • Dentist
  • Davie, FL
National Provider Identifier
1306463344
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN24891 Issued in FL
Practice address
13931 Oak Ridge Dr
Davie, FL 33325-3002
Phone
(954) 591-4675
NPI assigned
Jun 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN24891 FL Primary

Addresses

Primary practice location

13931 Oak Ridge Dr
Davie, FL 33325-3002

Mailing address

13931 Oak Ridge Dr
Davie, FL 33325-3002
Phone (954) 591-4675

Other practice location 1

1945 N Pine Island Rd
Sunrise, FL 33322-5203
Phone (954) 473-9161

Other practice location 2

4267 W Commercial Blvd
Tamarac, FL 33319-3305
Phone (954) 677-3202

Other practice location 3

8580 Stirling Rd Ste 101
Hollywood, FL 33024-8206
Phone (954) 500-0102

Other practice location 4

2625 Executive Park Dr
Weston, FL 33331-3634
Phone (954) 384-8484

Other names 1

  • Kelly Isabel Calderon Former name

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

LicenseStateTypeSpecialty
DN24891FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Allure Dental of Hollywood PLLC PastSince Mar 4, 2021 Accepting new patients
Silver Lakes Dental Associates, P.a. PastSince Jun 1, 2020 Accepting new patients
Allure Dental PLLC Dentist Past Accepting new patients
Allure Dental of Plantation PLLC Past Accepting new patients
Preferred Dental Care PA Dentist PastSince Jan 1, 2023 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1306463344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13931 OAK RIDGE DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333253002",
            "telephone_number": "954-591-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13931 OAK RIDGE DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333253002",
            "telephone_number": "954-591-4675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1945 N Pine Island Rd",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333225203",
            "country_code": "US",
            "telephone_number": "954-473-9161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4267 W Commercial Blvd",
            "address_purpose": "LOCATION",
            "city": "Tamarac",
            "state": "FL",
            "postal_code": "333193305",
            "country_code": "US",
            "telephone_number": "954-677-3202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8580 Stirling Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330248206",
            "country_code": "US",
            "telephone_number": "954-500-0102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2625 Executive Park Dr",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333313634",
            "country_code": "US",
            "telephone_number": "954-384-8484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "KELLY",
        "middle_name": "ISABEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2025-02-26",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN24891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "CALDERON",
            "middle_name": "ISABEL",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.

Verify at the official NPI Registry.