KFD Virginia Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KFD VIRGINIA INC

Doing business as

Kids First Dental

Practice address

4903 Starkey Rd Ste 300
Roanoke, VA 24018-8525

Phone

(540) 904-2700

Fax

(540) 904-2760

NPI assigned

Jan 3, 2019

Organization subpart

No

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

Authorized official

Name

Robert Haber Ellis III, DMD

Title

Owner

Phone

(803) 413-5100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kids First Dental Doing business as

Locations

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1659844538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4903 STARKEY RD STE 300",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240188525",
            "telephone_number": "540-904-2700",
            "fax_number": "540-904-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4903 STARKEY RD STE 300",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240188525",
            "telephone_number": "540-904-2700",
            "fax_number": "540-904-2760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1152 E Church St",
            "address_purpose": "LOCATION",
            "city": "Martinsville",
            "state": "VA",
            "postal_code": "241123225",
            "country_code": "US",
            "telephone_number": "276-403-5500",
            "fax_number": "276-403-5545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KFD VIRGINIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "HABER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-413-5100",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3691",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids First Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harry Woodson Kessler III
• Samuel Key
• Ashley Keyes
• David C Keyes, M.D.
• Taylor Alexis Keys
• Monika Khadka
• Ameera Khalefa
• Kiran Khalid, M.D.
• Mirette Khalil, DDS
• Arman Khan

• Dental Clinic/Center in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.