David W. Kelliny, DDS, Inc.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

43354 Issued in CA

Legal business name

DAVID W. KELLINY, DDS, INC.

Practice address

22920 Crenshaw Blvd
Suite a
Torrance, CA 90505-3023

Phone

(310) 793-2020

Fax

(310) 793-2008

NPI assigned

Oct 25, 2005

Last updated

Oct 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Wasfy Kelliny, BDS, DDSNPI 1225435035

Title

President/ Dentist

Phone

(310) 793-2020

Specialties & licenses 1

Addresses

Locations

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.

• David W Kelliny, BDS, DDS

  • Endodontics
  • Torrance, CA
  • NPI 1225435035
  NPD (past) Authorized official

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1588654073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22920 CRENSHAW BLVD",
            "address_2": "SUITE A",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053023",
            "telephone_number": "310-793-2020",
            "fax_number": "310-793-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22920 CRENSHAW BLVD",
            "address_2": "SUITE A",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053023",
            "telephone_number": "310-793-2020",
            "fax_number": "310-793-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID W. KELLINY, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "KELLINY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WASFY",
        "authorized_official_title_or_position": "PRESIDENT/ DENTIST",
        "authorized_official_telephone_number": "310-793-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS, DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "43354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endodontics in Torrance, CA
• Providers in Torrance, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.