Kells Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KELLS DENTAL

Practice address

116 39TH St Apt 4
Union City, NJ 07087-6139

Phone

(917) 572-3637

NPI assigned

Nov 14, 2022

Last updated

Nov 14, 2022By 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

Patricia Izquierdo

Title

Owner

Phone

(917) 572-3637

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1780392217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 JACKSON AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 39TH ST APT 4",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070876139",
            "telephone_number": "917-572-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "IZQUIERDO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-572-3637"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Katz, M.D.
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• Patrick Kennedy, DDS
• Ani Keshishyan

• General Practice Dentistry in Union City, NJ
• Providers in Union City, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.