Active NPI
Abigail Kelley, DMD
- Dentist
- Willoughby Hills, OH
National Provider Identifier
1609455781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30.027081
- Practice address
- 35010 Chardon Rd Ste 201
Willoughby Hills, OH 44094-9011 - Phone
- (440) 946-9701
- Fax
- (440) 946-9953
- NPI assigned
- Apr 6, 2021
- Last updated
- May 13, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30.027081 | OH | Primary |
| General Practice Dentistry | 1223G0001X | DN25497 | FL |
Addresses
Primary practice location
35010 Chardon Rd Ste 201
Willoughby Hills, OH 44094-9011
Mailing address
35010 Chardon Rd Ste 201
Willoughby Hills, OH 44094-9011
Phone (440) 946-9701
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30.027081 | OH | MD | Dentist |
| DN25497 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas a Plas DDS Ap LLC | Dentist | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1609455781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35010 CHARDON RD STE 201",
"city": "WILLOUGHBY HILLS",
"state": "OH",
"postal_code": "440949011",
"telephone_number": "440-946-9701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35010 CHARDON RD STE 201",
"city": "WILLOUGHBY HILLS",
"state": "OH",
"postal_code": "440949011",
"telephone_number": "440-946-9701",
"fax_number": "440-946-9953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "ABIGAIL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-06",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.027081",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN25497",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willoughby Hills, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.