Organization Active NPI

Kelley PS

  • Dental Clinic/Center
  • Kirkland, WA
National Provider Identifier
1558200840
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KELLEY PS
Practice address
12308 NE 144TH St
Kirkland, WA 98034-4503
Phone
(425) 821-9191
NPI assigned
Mar 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Dr. Ann Kelley, DDSNPI 1184718777
Title
President
Phone
(425) 821-9191

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

12308 NE 144TH St
Kirkland, WA 98034-4503

Mailing address

12308 NE 144TH St
Kirkland, WA 98034-4503
Phone (425) 821-9191

National Provider Directory

National Provider Directory

Locations

12308 NE 144th St
Kirkland, WA 98034
Phone (425) 821-9191

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1558200840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12308 NE 144TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344503",
            "telephone_number": "425-821-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12308 NE 144TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344503",
            "telephone_number": "425-821-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEY PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-821-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.