John M Kelly DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

O9294 Issued in MD

Legal business name

JOHN M KELLY DDS PC

Practice address

4833 Bethesda Ave
Suite 302
Bethesda, MD 20814-5244

Phone

(301) 657-3220

Fax

(301) 657-1669

NPI assigned

Feb 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John Michael Kelly, DDS

Title

Owner

Phone

(301) 657-3220

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1518136233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 BETHESDA AVE",
            "address_2": "SUITE 302",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208145244",
            "telephone_number": "301-657-3220",
            "fax_number": "301-657-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4833 BETHESDA AVE",
            "address_2": "SUITE 302",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208145244",
            "telephone_number": "301-657-3220",
            "fax_number": "301-657-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M KELLY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-657-3220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "O9294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.

Verify at the official NPI Registry.