Organization Active NPI

Kellogg Endodontics, P.a.

  • Endodontics
  • Riverview, FL
National Provider Identifier
1497282859
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN20366 Issued in FL
Legal business name
KELLOGG ENDODONTICS, P.A.
Practice address
10081 Beach Verbena Dr
Riverview, FL 33578
Phone
(813) 741-1900
Fax
(813) 741-1901
NPI assigned
May 16, 2017
Last updated
Jan 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
David Kellogg, DDS, MSNPI 1255771267
Title
President/Dentist
Phone
(813) 741-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X DN20366 FL Primary

Addresses

Primary practice location

10081 Beach Verbena Dr
Riverview, FL 33578

Mailing address

10081 Beach Verbena Dr
Riverview, FL 33578-5491
Phone (813) 741-1900

National Provider Directory

National Provider Directory

Locations

10081 Beach Verbena Dr
Riverview, FL 33578
Phone (813) 741-1900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1497282859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10081 BEACH VERBENA DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335785491",
            "telephone_number": "813-741-1900",
            "fax_number": "813-741-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10081 BEACH VERBENA DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "33578",
            "telephone_number": "813-741-1900",
            "fax_number": "813-741-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLOGG ENDODONTICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-16",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "KELLOGG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "813-741-1900",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN20366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.