Active NPI
Paige E Kelly, DMD
- Dentist
- Roy, UT
National Provider Identifier
1386335339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11178149-9921
- Practice address
- 5122 S 2000 W
Roy, UT 84067-3411 - Phone
- (203) 767-7156
- NPI assigned
- May 18, 2023
- Last updated
- May 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11178149-9921 | UT | Primary |
Addresses
Primary practice location
5122 S 2000 W
Roy, UT 84067-3411
Mailing address
5122 S 2000 W
Roy, UT 84067-3411
Phone (203) 767-7156
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11178149-9921 | UT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1386335339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5122 S 2000 W",
"city": "ROY",
"state": "UT",
"postal_code": "840673411",
"telephone_number": "203-767-7156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5122 S 2000 W",
"city": "ROY",
"state": "UT",
"postal_code": "840673411",
"telephone_number": "203-767-7156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "PAIGE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-18",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "11178149-9921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roy, UT
- Alicia Kaiser
- Jacob Carl Kap, PT
- Bryan Kariya, D.D.S.
- Paul Kekacs, LMT
- Morgan Kelly
- Kelson Physician Partner's of Layton, Inc. (Wee Care Pediatrics)
- Kelson Physician Partners of Layton, Inc. (Wee Care Pediatrics)
- Kelson Physijcian Partners of Layton, Inc (Wee Care Pediatrics)
- Cheryl Kelstrom-Smith, LCSW
- Katiana Rochelle Kelty, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.