Active NPI
James Edward Kelley II, D.M.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Mt Pleasant, SC
National Provider Identifier
1669640793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 3935
- Practice address
- 1065 Johnnie Dodds Blvd Ste E
Mt Pleasant, SC 29464-6153 - Phone
- (843) 856-9323
- Fax
- (843) 881-1878
- NPI assigned
- Feb 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 3935 | SC | Primary |
Addresses
Primary practice location
1065 Johnnie Dodds Blvd Ste E
Mt Pleasant, SC 29464-6153
Mailing address
1065 Johnnie Dodds Blvd Ste E
Mt Pleasant, SC 29464-6153
Phone (843) 856-9323
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 |
|---|---|---|---|
| 3935 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelley Orthodontics, PC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
Locations
1065 Johnnie Dodds Blvd
Ste E
Mt Pleasant, SC 29464
Phone (843) 856-9323
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 and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Mt Pleasant, SC
- NPI 1346845500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1669640793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1065 JOHNNIE DODDS BLVD STE E",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294646153",
"telephone_number": "843-856-9323",
"fax_number": "843-881-1878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1065 JOHNNIE DODDS BLVD STE E",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294646153",
"telephone_number": "843-856-9323",
"fax_number": "843-881-1878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "JAMES",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-11",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "SC",
"license": "3935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.