Active NPI
Patrick Britton Kelly, D.M.D.
- General Practice Dentistry
- Mobile, AL
National Provider Identifier
1457518003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4713
- Practice address
- 5352B Highway 90 W
Mobile, AL 36619-4202 - Phone
- (251) 338-3204
- Fax
- (251) 338-3209
- NPI assigned
- May 21, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4713 | AL | Primary |
Addresses
Primary practice location
5352B Highway 90 W
Mobile, AL 36619-4202
Mailing address
5352B Highway 90 W
Mobile, AL 36619-4202
Phone (251) 338-3204
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 |
|---|---|---|---|
| 4713 | AL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1457518003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5352B HIGHWAY 90 W",
"city": "MOBILE",
"state": "AL",
"postal_code": "366194202",
"telephone_number": "251-338-3204",
"fax_number": "251-338-3209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5352B HIGHWAY 90 W",
"city": "MOBILE",
"state": "AL",
"postal_code": "366194202",
"telephone_number": "251-338-3204",
"fax_number": "251-338-3209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "PATRICK",
"middle_name": "BRITTON",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-21",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "4713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.