NPIMap

Organization Active NPI

Kelly Chong DDS PA

  • Dental Clinic/Center
  • Orlando, FL
National Provider Identifier
1376263541
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KELLY CHONG DDS PA
Practice address
12278 E Colonial Dr Ste 100
Orlando, FL 32826-4734
Phone
(407) 282-3232
NPI assigned
Aug 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Authorized official

Name
Dr. Kelly ChongNPI 1861052706
Title
Dr./Owner
Phone
(407) 282-3232

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

12278 E Colonial Dr Ste 100
Orlando, FL 32826-4734

Mailing address

12278 E Colonial Dr Ste 100
Orlando, FL 32826-4734

National Provider Directory

National Provider Directory

Locations

12278 E Colonial Dr
Ste 100
Orlando, FL 32826
Phone (407) 282-3232

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": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1376263541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12278 E COLONIAL DR STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12278 E COLONIAL DR STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264734",
            "telephone_number": "407-282-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY CHONG DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "CHONG",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DR./OWNER",
        "authorized_official_telephone_number": "407-282-3232",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.