Delbert R Kelly DDS & Assoc

Primary specialty

DentistTaxonomy code 122300000X

License

DS4101 Issued in TN

Legal business name

DELBERT R KELLY DDS & ASSOC

Practice address

1042 E 3Rd St
Ste 201
Chattanooga, TN 37403

Phone

(423) 265-0419

Fax

(423) 265-3334

NPI assigned

Nov 10, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Delbert R Kelly, DDSNPI 1881923670

Title

Dentist

Phone

(423) 265-0419

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Delbert R Kelly, D.D.S

  • Dentist
  • Chattanooga, TN
  • NPI 1881923670
  NPD (past) Authorized official

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396726758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 E 3RD ST",
            "address_2": "STE 201",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37403",
            "telephone_number": "423-265-0419",
            "fax_number": "423-265-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 E 3RD ST",
            "address_2": "STE 201",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37403",
            "telephone_number": "423-265-0419",
            "fax_number": "423-265-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELBERT R KELLY DDS & ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "DELBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "423-265-0419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS4101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3225019",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Giulia Deem
• Deems S Riddle III (Rapid RX)
• Valerie Kay Defoor, MSN, APRN, FNP-BC
• Emily Nicole Delaney
• Steven D Delaney
• Gina M Delgardo, PH.D.
• Lindsey Dellinger, DPT
• Laurie A Delong, LPN
• Steve Gutherie Delotelle, M.A
• Fred Demarco Jr., ATC

• Dentist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.