Active NPI
Kelli Long Bennett, D.M.D.
- General Practice Dentistry
- Calera, AL
National Provider Identifier
1386881316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5554
- Practice address
- 71 Limestone Pkwy
Suite C
Calera, AL 35040-7501 - Phone
- (205) 541-3196
- NPI assigned
- Jan 13, 2009
- Last updated
- Oct 19, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8683 | NC | |
| General Practice Dentistry | 1223G0001X | 5554 | AL | Primary |
Addresses
Primary practice location
71 Limestone Pkwy
Suite C
Calera, AL 35040-7501
Mailing address
71 Limestone Pkwy
Suite C
Calera, AL 35040-7501
Phone (205) 541-3196
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 |
|---|---|---|---|
| 8683 | NC | MD | Dentist |
| 5554 | AL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287446400000",
"number": "1386881316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 LIMESTONE PKWY",
"address_2": "SUITE C",
"city": "CALERA",
"state": "AL",
"postal_code": "350407501",
"telephone_number": "205-541-3196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 LIMESTONE PKWY",
"address_2": "SUITE C",
"city": "CALERA",
"state": "AL",
"postal_code": "350407501",
"telephone_number": "205-541-3196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "KELLI",
"middle_name": "LONG",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-13",
"last_updated": "2010-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "8683",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "5554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Calera, AL
- American Family Care, LLC (American Family Care)
- Jena Anders, LPC
- Brittany Nicole Arrington-Smith, CRNP
- John Allen Baggett, DMD
- Lashanda Banks, M.S., LPC, NCC
- Birmingham Home Infusion, LLC (Birmingham Vital Care)
- Monica Blackmon, LICSW
- Rachel Ross Blackwood, DPT
- Boler & Associates, Counseling & Consultation Services, LLC
- Cory De'Andre Boler, ALC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.