Kellie O'Keefe, DMD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

11423 Issued in CT

Practice address

2940 Stanley Rd
San Antonio, TX 78234-2740

Phone

(210) 466-5730

NPI assigned

Jul 2, 2015

Last updated

Jan 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1699158089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 CONNELL RD",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782347664",
            "telephone_number": "210-466-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 STANLEY RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782342740",
            "telephone_number": "210-466-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'KEEFE",
        "first_name": "KELLIE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "11423",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CT",
            "license": "11423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scarlett Nicole O'Hara-Wood, NP
• Elizabeth C O'Hara, LPC
• Anna O'Hare, IOM
• Sarah Annalisa O'Hare, BCBA
• Vernell Nicole O'Hare
• Alyssa O'Krent
• Robert Arthur O'Maine, PSY.D.
• Lauren N. O'Malley, LPC
• Kelsey Aislinn O'Maoileidigh
• Joshua O'Mullan, LPC-S

• Prosthodontics in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Prosthodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.