Organization Active NPI

James M Kelly, DDS PLLC

  • Dental Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1649740994
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JAMES M KELLY, DDS PLLC
Practice address
2999 N 44TH St Ste 640
Phoenix, AZ 85018-7253
Phone
(602) 954-1901
NPI assigned
Nov 29, 2018
Last updated
Nov 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Authorized official

Name
Miss Sherrie Lynn Kelly
Title
Owner
Phone
(602) 954-1901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2999 N 44TH St Ste 640
Phoenix, AZ 85018-7253

Mailing address

2999 N 44TH St Ste 640
Phoenix, AZ 85018-7253
Phone (602) 954-1901

National Provider Directory

National Provider Directory

Locations

2999 N 44th St
Ste 640
Phoenix, AZ 85018
Phone (602) 954-1901

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543449600000",
    "number": "1649740994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 N 44TH ST STE 640",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187253",
            "telephone_number": "602-954-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 N 44TH ST STE 640",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187253",
            "telephone_number": "602-954-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M KELLY, DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "SHERRIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-954-1901",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.