Organization Active NPI

Kelley Orthodontics, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mt Pleasant, SC
National Provider Identifier
1346845500
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
KELLEY ORTHODONTICS, PC
Practice address
1065 Johnnie Dodds Blvd Ste E
Mt Pleasant, SC 29464-6153
Phone
(843) 856-9323
Fax
(843) 881-1878
NPI assigned
Dec 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Authorized official

Name
Dr. James E Kelley II, DMDNPI 1669640793
Title
Primary Doctor
Phone
(843) 856-9323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1065 Johnnie Dodds Blvd Ste E
Mt Pleasant, SC 29464-6153

Mailing address

1065 Johnnie Dodds Blvd Ste E
Mt Pleasant, SC 29464-6153
Phone (843) 856-9323

Other practice location 1

3401 Salterbeck St Ste 101
MT Pleasant, SC 29466-7168
Phone (843) 856-9323

National Provider Directory

National Provider Directory

Locations

3401 Salterbeck St
Ste 101
Mt Pleasant, SC 29466
Phone (843) 856-9323

1065 Johnnie Dodds Blvd
Ste E
Mt Pleasant, SC 29464
Phone (843) 856-9323

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1346845500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 JOHNNIE DODDS BLVD STE E",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294646153",
            "telephone_number": "843-856-9323",
            "fax_number": "843-881-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 JOHNNIE DODDS BLVD STE E",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294646153",
            "telephone_number": "843-856-9323",
            "fax_number": "843-881-1878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 Salterbeck St Ste 101",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "294667168",
            "country_code": "US",
            "telephone_number": "843-856-9323",
            "fax_number": "843-881-1878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KELLEY ORTHODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRIMARY DOCTOR",
        "authorized_official_telephone_number": "843-856-9323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.