Kelly Zhao, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29285 Issued in TX

Practice address

4212 Ella Blvd
Houston, TX 77018-4210

Phone

(832) 410-1000

NPI assigned

Jul 24, 2013

Last updated

Aug 9, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arc DDS PLLC

  dba Arc Dental

  • Dentist
  • Houston, TX
  • NPI 1700366697
  NPD Authorized official
• K. Z. DDS PLLC

  • Dental Clinic/Center
  • Houston, TX
  • NPI 1558061226
  NPD Authorized official
• Kelly Zhao PLLC

  • Dental Clinic/Center
  • Houston, TX
  • NPI 1760182422
  NPD Authorized official

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1588006068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 ELLA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770184210",
            "telephone_number": "832-410-1000",
            "fax_number": "832-553-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 ELLA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770184210",
            "telephone_number": "832-410-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHAO",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "339719210",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haiwen Zhao
• James Zhao
• Jessie Jiexi Zhao, MD
• Jianping Zhao, MD
• Jun Zhao, D.O.
• Menghan Zhao, MD
• Ning Olivia Zhao, MD
• Qing Zhao
• Shuang Zhao, M.D., M.S.E.
• Shumei Zhao, SA-C

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.