Individual provider Active NPI

Kellye Lauren Sutherland Steele, DMD, MS

  • Dentist
  • Spring, TX
National Provider Identifier
1689165680
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38351 Issued in TX
Practice address
6710 Spring Stuebner Rd Ste 700
Spring, TX 77389-5197
Phone
(281) 791-0043
NPI assigned
May 24, 2018
Last updated
Aug 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 38351 TX
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 38351 TX Primary

Addresses

Primary practice location

6710 Spring Stuebner Rd Ste 700
Spring, TX 77389-5197

Mailing address

10 Cedar CV
Springboro, OH 45066-9475

Other practice location 1

5620 Farm to Market 1960 Rd W
Houston, TX 77069
Phone (281) 880-9469

Other names 1

  • Dr. Kellye Lauren Sutherland Steele Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180726002364 OH Order and Referring Only - DentistPractitioner - Dentist 6103173802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
38351TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Champions Modern Dentistry, PC Past Accepting new patients
Spring Klein Dentistry,PC Dentist PastSince Jul 10, 2022 Accepting new patients

Organizations & group practices 2

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": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1689165680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CEDAR CV",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450669475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 SPRING STUEBNER RD STE 700",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773895197",
            "telephone_number": "281-791-0043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5620 Farm to Market 1960 Rd W",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77069",
            "country_code": "US",
            "telephone_number": "281-880-9469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEELE",
        "first_name": "KELLYE",
        "middle_name": "LAUREN SUTHERLAND",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "38351",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "38351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLYE",
            "last_name": "STEELE",
            "middle_name": "LAUREN SUTHERLAND",
            "prefix": "DR.",
            "credential": "DMD, MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.