Dental Corporation of Kelly a. Elward, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

42914 Issued in CA

Legal business name

DENTAL CORPORATION OF KELLY A. ELWARD, DDS

Practice address

1820 Sonoma Ave Ste 100
Santa Rosa, CA 95405-6617

Phone

(707) 539-4646

Fax

(707) 539-3617

NPI assigned

Dec 28, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kelly Ann Elward, D.D.S.

Title

President

Phone

(707) 539-4646

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1467798116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 SONOMA AVE STE 100",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056617",
            "telephone_number": "707-539-4646",
            "fax_number": "707-539-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 SONOMA AVE STE 100",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056617",
            "telephone_number": "707-539-4646",
            "fax_number": "707-539-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CORPORATION OF KELLY A. ELWARD, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-28",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "ELWARD",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-539-4646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "42914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Dennett
• Daniele Dennison
• Shelleen E. Denno, M.D.
• Margot Elizabeth Denon-Cardarelli, SUDCC
• Sally Marie Dent
• Dental Group of Emine Loxley, DDS, Inc
• Melissa De Asis Deocampo- Escalante, FNP-C
• Department of Health
• Department of Health
• Department of Health Service

• Dentist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.