Courtney Kelley, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH002024265 Issued in CO

Practice address

2761 W 120TH Ave
Westminster, CO 80234-2975

Phone

(303) 288-0577

NPI assigned

May 23, 2019

Last updated

May 23, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1700443934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 MARSHALL ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800335044",
            "telephone_number": "413-364-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2761 W 120TH AVE",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342975",
            "telephone_number": "303-288-0577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7350 Lowell Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800304869",
            "country_code": "US",
            "telephone_number": "720-458-6561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "COURTNEY",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "DH002024265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric H Keahey, M.D.
• Michael James Keating, MS, ATC, CSCS
• Carol Keener
• Alexis Keller
• Gregory F Kellermeyer, M.D.
• Jennifer N Kelloff, MD
• Nadia Hannawi Kellow, MFTC
• Diana Kay Kelly, LCSW
• Kariann Kelly, RBT
• Meredith Diane Kelly, LCSW

• Dental Hygienist in Westminster, CO
• Providers in Westminster, CO by specialty
• Dental Hygienist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.