Active NPI
Deann Kelly, RDH, OMT
- Dental Hygienist
- Kirksville, MO
National Provider Identifier
1447123765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2024036053
- Practice address
- 2204 Somerset Dr
Kirksville, MO 63501-5714 - Phone
- (660) 349-9094
- NPI assigned
- Sep 24, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2024036053 | MO | Primary |
Addresses
Primary practice location
2204 Somerset Dr
Kirksville, MO 63501-5714
Mailing address
2204 Somerset Dr
Kirksville, MO 63501-5714
Phone (660) 349-9094
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 |
|---|---|---|---|
| 2024036053 | MO | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1447123765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2204 SOMERSET DR",
"city": "KIRKSVILLE",
"state": "MO",
"postal_code": "635015714",
"telephone_number": "660-349-9094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2204 SOMERSET DR",
"city": "KIRKSVILLE",
"state": "MO",
"postal_code": "635015714",
"telephone_number": "660-349-9094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "DEANN",
"credential": "RDH, OMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-24",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MO",
"license": "2024036053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kirksville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.