John D Kelley, LPO, CFO

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

1245 Issued in TX

Practice address

1110 W Shore Dr
Suite 400D
Richardson, TX 75080-4054

Phone

(972) 470-0300

Fax

(972) 470-0301

NPI assigned

May 30, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1376744912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W SHORE DR",
            "address_2": "SUITE 400D",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804054",
            "telephone_number": "972-470-0300",
            "fax_number": "972-470-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W SHORE DR",
            "address_2": "SUITE 400D",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804054",
            "telephone_number": "972-470-0300",
            "fax_number": "972-470-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "JOHN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "LPO, CFO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TX",
            "license": "1245",
            "primary": true
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "TX",
            "license": "1245",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Austin Keeler
• Keep Me Balanced Health Clinic, PLLC
• Melissa Keeton
• Cynthia Lee Keiser, ACNP
• Judy Keith
• Rebekah Kelley
• Kelly R. Will, M.D., P.a.
• Mariana Litia Kelly, DC
• Donna Kendall, M.S., CCC-SLP
• Joyce Louise Kenebrew, APN

• Prosthetist in Richardson, TX
• Providers in Richardson, TX by specialty
• Prosthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.