Kelly Zhao PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KELLY ZHAO PLLC

Practice address

4210 Ella Blvd
Houston, TX 77018-4210

Phone

(832) 353-3838

NPI assigned

Mar 9, 2023

Last updated

Mar 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly ZhaoNPI 1588006068

Title

Dr.

Phone

(832) 353-3838

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Zhao, D.D.S.

  • General Practice Dentistry
  • Houston, TX
  • NPI 1588006068
  NPD Authorized official

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1760182422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 ELLA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770184210",
            "telephone_number": "832-353-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 ELLA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770184210",
            "telephone_number": "832-353-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY ZHAO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "ZHAO",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "832-353-3838"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmisha Kellum, APRN, FNP-C
• Micah Kellum, CRNA
• Shania Nicole Kellum
• Kelly Bourgeois M.D.
• Kelly T.L. Tran, O.D., P.a. (Signature Eyecare at The Galleria)
• Sonya Kelly-Mothershed
• Vionna Kelly-Simeus, CSA
• Alexandra Leggett Kelly, PA-C
• Alison Barbara Kelly, MOT, OTR/L
• Alyssa J Kelly, M.A., CCC-SLP

• Dental Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.