Kelly C. Alexander, DDS, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KELLY C. ALEXANDER, DDS, LLC

Practice address

193 East Ave Ste 202
Tallmadge, OH 44278-2341

Phone

(330) 633-0324

NPI assigned

Apr 13, 2022

Organization subpart

No

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

Authorized official

Name

Kelly C. Alexander, DDS

Title

Sole Member

Phone

(330) 245-6107

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Robert Kaludy, D.D.S.

  • General Practice Dentistry
  • Tallmadge, OH
  • NPI 1801017439
  NPD (past)

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1760124366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6167 BURR OAK WAY",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364914",
            "telephone_number": "330-245-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 EAST AVE STE 202",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782341",
            "telephone_number": "330-633-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY C. ALEXANDER, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "330-245-6107",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "N/A",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "193 East Ave Ste 202",
            "city": "Tallmadge",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442782341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Kapity, LSW
• Kyle James Katz
• Anika Kaufman, LPCC
• Mara D Kaylor
• Phyllis Marie Kazimer, P.A.-C.
• Jason Kelty, D.P.M.
• Emily Kendall, M.ED., ED.S.
• Brook Kendra
• Nancy J. Keogh, PHD
• Deborah Kern, P.T.

• Dental Clinic/Center in Tallmadge, OH
• Providers in Tallmadge, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.