Active NPI
Ciera Kelly
- Dentist
- Spokane, WA
National Provider Identifier
1598513459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DENT.DE.70020395
- Practice address
- 203 E Dalke Ave
Spokane, WA 99208-8112 - Phone
- (509) 444-8200
- Fax
- (508) 434-0392
- NPI assigned
- May 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DENT.DE.70020395 | WA | Primary |
Addresses
Primary practice location
203 E Dalke Ave
Spokane, WA 99208-8112
Mailing address
611 N Iron Bridge Way
Spokane, WA 99202-4932
Phone (509) 444-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260128002523 | WA | Order and Referring Only - Dentist | 0345728705 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DENT.DE.70020395 | WA | MD | Dentist |
Interoperability endpoints
- ciera.kelly.1@11411.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1598513459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 N IRON BRIDGE WAY",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992024932",
"telephone_number": "509-444-8888",
"fax_number": "509-444-7806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 E DALKE AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992088112",
"telephone_number": "509-444-8200",
"fax_number": "508-434-0392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "CIERA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-07",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DENT.DE.70020395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.