Thomas Christopher Kelley, DDS, MSD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

5257015 Issued in WI

Practice address

150 S Calhoun Rd
Brookfield, WI 53005-6303

Phone

(262) 787-9075

Fax

(262) 787-9076

NPI assigned

Oct 20, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thomas C. Kelley DDS MSD LLC

  • Periodontics
  • Brookfield, WI
  • NPI 1780998997
  Authorized official Same address or phone

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1770572828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S CALHOUN RD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530056303",
            "telephone_number": "262-787-9075",
            "fax_number": "262-787-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S CALHOUN RD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530056303",
            "telephone_number": "262-787-9075",
            "fax_number": "262-787-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "THOMAS",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WI",
            "license": "5257015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33778000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Charles Keene, DDS
• Whitney Kees, OTR
• Ryan J Kehoe, M.D.
• David Keller, COTA
• Scott W. Kelley, MD
• Elizabeth Kelly
• Jill Ann Kelly, R.N.
• Megan Marie Kelnhofer
• Beth Mary Kennedy, MS CCC SLP
• Melanie Ann Kennedy, RBT

• Periodontics in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Periodontics in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.