Alan Scott Kellner, D.M.D., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN14054 Issued in FL

Practice address

3650 Forest Hill Blvd
Ste 3
West Palm Beach, FL 33406-5662

Phone

(561) 965-8888

Fax

(561) 965-8897

NPI assigned

Mar 27, 2007

Sex

Male

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

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508984626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 FOREST HILL BLVD",
            "address_2": "STE 3",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065662",
            "telephone_number": "561-965-8888",
            "fax_number": "561-965-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 FOREST HILL BLVD",
            "address_2": "STE 3",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065662",
            "telephone_number": "561-965-8888",
            "fax_number": "561-965-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLNER",
        "first_name": "ALAN",
        "middle_name": "SCOTT",
        "credential": "D.M.D., DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN14054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith D. Meyer, M.D., P.a.
• Sydney Sophie Kelleher
• Janna A Keller, CRNA
• Stephen Phillip Keller, D.O.
• Larisa Coye Kelley, M.D.
• Chauna Jasmine Kelly
• Inez N/a Kelly, M.A
• Kadiyah Kelly
• Kay Frances Kelly, MS, PT, NHA
• Tracian Patrice Kelly, ARNP

• General Practice Dentistry in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.