Jacqueline Kelley, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

11130 Issued in KY

Practice address

3141 Beaumont Centre Cir
Lexington, KY 40513-1960

Phone

(859) 223-2120

NPI assigned

May 31, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jacqueline Darling Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Patricia E Takacs DMD PSC

  • Dentist
  • Lexington, KY
  • NPI 1396946752
  NPD (past)
• Patricia E. Takacs

  • Dental Clinic/Center
  • Lexington, KY
  • NPI 1831521640
  NPD (past)

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1649010091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 HIGBEE MILL ROAD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 BEAUMONT CENTRE CIR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131960",
            "telephone_number": "859-223-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "JACQUELINE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "11130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "DARLING",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Kelley, MD
• Debra Hedger Kelley, PHARMD
• Donald L. Kelley II, D.D.S., M.S.
• Haley Kelley
• Hannah Leigh Kelley, LCSW
• James Paul Kelley, PAC
• Jordan Kelley
• Nancy Woolums Kelley, LCSW
• Sandra Tracey Kelley, NP
• Shannon Kelley

• Dentist in Lexington, KY
• Providers in Lexington, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.