Organization Active NPI

D&K Dental LLC

  • Dentist
  • Nashua, NH
National Provider Identifier
1780964189
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
03851 Issued in NH
Legal business name
D&K DENTAL LLC
Practice address
57 Northeastern Blvd Ste 201
Nashua, NH 03062-3154
Phone
(603) 521-8411
Fax
(603) 518-5170
NPI assigned
Aug 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Dr. Kelly B Whelan, DMDNPI 1801184544
Title
Dentist
Phone
(978) 877-9782

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 03851 NH Primary

Addresses

Primary practice location

57 Northeastern Blvd Ste 201
Nashua, NH 03062-3154

Mailing address

155 Main Dunstable Rd
Ste. 140
Nashua, NH 03060-3640

Other names 2

  • Wellspring Dental Group Doing business as
  • D&K DENTAL LLC Other name

National Provider Directory

National Provider Directory

Locations

155 Main Dunstable Rd
Ste 140
Nashua, NH 03060
Phone (603) 577-1965

57 Northeastern Blvd
Ste 201
Nashua, NH 03062
Phone (603) 521-8411

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1780964189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MAIN DUNSTABLE RD",
            "address_2": "STE. 140",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 NORTHEASTERN BLVD STE 201",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030623154",
            "telephone_number": "603-521-8411",
            "fax_number": "603-518-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D&K DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "WHELAN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "978-877-9782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NH",
            "license": "03851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellspring Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellspring Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "D&K DENTAL LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.