Kelly Hennessey Somers, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60861734 Issued in WA

Practice address

3615 S Grand Blvd
Spokane, WA 99203-2624

Phone

(509) 456-8676

Fax

(509) 456-8679

NPI assigned

Jul 17, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Practice roles

Locations

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

• Kelly a. Hennessey D.D.S., PLLC

  • Dental Clinic/Center
  • Spokane, WA
  • NPI 1710634670
  NPD
• Manito Family Dentistry

  • Dental Clinic/Center
  • Spokane, WA
  • NPI 1316492671
  NPD (past)
• Psomas and Warnica, PLLC

  • Dentist
  • Spokane Valley, WA
  • NPI 1295289858
  NPD (past)

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1780160333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 S GRAND BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032624",
            "telephone_number": "509-456-8676",
            "fax_number": "509-456-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 S GRAND BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032624",
            "telephone_number": "509-456-8676",
            "fax_number": "509-456-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMERS",
        "first_name": "KELLY",
        "middle_name": "HENNESSEY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60861734",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "60861734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soma Relational Counseling PLLC
• Yewubnesh Hailu Somega, MD
• Emma Somerlott
• Cheryl Lynn Somers, ARNP
• Erin Somers, MA
• Stephen H Somerville
• Payten Grace Somes
• Mariah Zeise Sommer
• Deanna Lynn Sommers, MSW ACSW
• Yeji Son, PHD

• General Practice Dentistry in Spokane, WA
• Providers in Spokane, WA by specialty
• General Practice Dentistry in Washington

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

Verify at the official NPI Registry.