Kelly Maria McMonagle, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DS044458 Issued in PA

Practice address

886 Plaza Blvd
Lancaster, PA 17601-2748

Phone

(610) 223-7777

Fax

(610) 929-1110

NPI assigned

Sep 9, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Benjamin K Azizi

  • Dental Clinic/Center
  • Glenside, PA
  • NPI 1427695931
  NPD (past)

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1407525769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 BICKLEY RD",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190384401",
            "telephone_number": "484-744-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "886 PLAZA BLVD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012748",
            "telephone_number": "610-223-7777",
            "fax_number": "610-929-1110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "242 N Keswick Ave",
            "address_purpose": "LOCATION",
            "city": "Glenside",
            "state": "PA",
            "postal_code": "190384830",
            "country_code": "US",
            "telephone_number": "215-576-6414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Tennis Ave",
            "address_purpose": "LOCATION",
            "city": "Ambler",
            "state": "PA",
            "postal_code": "190026015",
            "country_code": "US",
            "telephone_number": "215-646-9514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMONAGLE",
        "first_name": "KELLY",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS044458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary E. McLane, C.N.M.
• Tirzah McLaurin
• Emily Anne McLean, MSW, LCSW
• Michelle K McLoughlin, CRNA
• Mary Theresa McManaman, PH.D.
• Kevin P McNally, CRNP
• Meghan McNally, DPT
• Caitlyn Harris McNaughton, PA-C
• Deanna L McNece, DPT
• Valerie Jeanne McNicholl, LCSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.