Individual provider Active NPI

Alyse O'Kelly, DMD

  • Pediatric Dentistry
  • Wilmington, DE
National Provider Identifier
1598375412
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
G10011591 Issued in DE
Practice address
3301 Lancaster Pike Unit 3E-3F
Wilmington, DE 19805-1436
Phone
(302) 803-6560
NPI assigned
Aug 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DS042872 PA
Pediatric Dentistry 1223P0221X G10011591 DE Primary

Addresses

Primary practice location

3301 Lancaster Pike Unit 3E-3F
Wilmington, DE 19805-1436

Mailing address

115 Round Hill Rd
Kennett Square, PA 19348-2607
Phone (310) 418-9518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
G10011591DEMDPediatric Dentist
DS042872PAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Onyinye C Myers DDS PLLC PastSince Aug 1, 2020 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1598375412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ROUND HILL RD",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482607",
            "telephone_number": "310-418-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 LANCASTER PIKE UNIT 3E-3F",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051436",
            "telephone_number": "302-803-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'KELLY",
        "first_name": "ALYSE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS042872",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "DE",
            "license": "G10011591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.