Kelly Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11640 Issued in MN

Legal business name

KELLY DENTISTRY

Practice address

2475 Georgetowne Dr NW
Rochester, MN 55901-3214

Phone

(507) 280-7557

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Laura Irene Kelly, DMDNPI 1235148479

Title

Dentist

Phone

(507) 280-7557

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Irene Kelly, DMD

  • General Practice Dentistry
  • Rochester, MN
  • NPI 1235148479
  NPD (past) Authorized official
• Adam Jon Kelly, DMD

  • General Practice Dentistry
  • Rochester, MN
  • NPI 1508875741
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336158575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 GEORGETOWNE DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013214",
            "telephone_number": "507-280-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 GEORGETOWNE DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013214",
            "telephone_number": "507-280-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "507-280-7557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Edward Kelley, MD
• Scott R Kelley, M.D.
• Siobhan Kelley, MT-BC
• Todd Andrew Kellogg, M.D.
• Anna Kellund
• Adam Jon Kelly, DMD
• Brandon John Kelly, D.D.S.
• Camry Lynn Kelly, DO
• Casey Kimberly Kelly, MD
• Cecilia Kelly

• General Practice Dentistry in Rochester, MN
• Providers in Rochester, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.