Daniel Joseph Kelly, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD12291 Issued in OR

Practice address

405 E 7TH St
The Dalles, OR 97058-2607

Phone

(541) 298-5144

Fax

(541) 298-5224

NPI assigned

Apr 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1770548265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E 7TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970582607",
            "telephone_number": "541-298-5144",
            "fax_number": "541-298-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E 7TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970582607",
            "telephone_number": "541-298-5144",
            "fax_number": "541-298-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD12291",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00022665",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267104",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASH WELF",
            "identifier": "1257104",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dianne Riggs Kaylor, DPT
• Audrey Kearns
• Keilman Dental Clinic PC
• Gregory Leo Keilman, DC
• Mark N Keilman, DDS
• Darlene M Kemper, LPC
• Delese Kendrick, CADC, CGAC
• Kenneth V Miller D.C P.C
• Tiffany Kenslow, MSW
• Reid Ketcher, DMD

• Ophthalmology Physician in The Dalles, OR
• Providers in The Dalles, OR by specialty
• Ophthalmology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.