Active NPI
Ariana Marisa Kelly, DMD
- Dental Anesthesiology
- Butler, PA
National Provider Identifier
1750955159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- License
- DS043142
- Practice address
- 342 N Main St
Butler, PA 16001-4921 - Phone
- (724) 714-6888
- NPI assigned
- May 19, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Anesthesiology | 1223D0004X | DS043142 | PA | Primary |
Addresses
Primary practice location
342 N Main St
Butler, PA 16001-4921
Mailing address
3600 Forbes Ave Ste 140
Pittsburgh, PA 15213-3410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210609000363 | PA | Order and Referring Only - Dentist | 2567862824 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS043142 | PA | MD | Dentist Anesthesiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709510400000",
"number": "1750955159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 FORBES AVE STE 140",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152133410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 N MAIN ST",
"city": "BUTLER",
"state": "PA",
"postal_code": "160014921",
"telephone_number": "724-714-6888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "ARIANA",
"middle_name": "MARISA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-19",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0004X",
"taxonomy_group": "",
"desc": "Dentist, Dental Anesthesiology",
"state": "PA",
"license": "DS043142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Butler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.