Aaron Kelsey, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53807 Issued in CA

Practice address

25612 Crown Valley Pkwy Ste L7
Ladera Ranch, CA 92694

Phone

(949) 347-0800

Fax

(949) 606-7219

NPI assigned

Sep 6, 2006

Last updated

Aug 27, 2019By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Ladera Ranch Dentistry

  • General Practice Dentistry
  • Ladera Ranch, CA
  • NPI 1629178058
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1790888642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78080 AVENIDA LA FONDA",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532923",
            "telephone_number": "760-777-9127",
            "fax_number": "760-777-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25612 CROWN VALLEY PKWY STE L7",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "92694",
            "telephone_number": "949-347-0800",
            "fax_number": "949-606-7219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50855 Washington St",
            "address_2": "Suite G",
            "address_purpose": "LOCATION",
            "city": "LA Quinta",
            "state": "CA",
            "postal_code": "922532891",
            "country_code": "US",
            "telephone_number": "760-777-7502",
            "fax_number": "760-564-8670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25612 Crown Valley Pkwy Ste L7",
            "address_purpose": "LOCATION",
            "city": "Ladera Ranch",
            "state": "CA",
            "postal_code": "92694",
            "country_code": "US",
            "telephone_number": "949-347-0800",
            "fax_number": "949-606-7219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "78080 Avenida La Fonda",
            "address_purpose": "LOCATION",
            "city": "LA Quinta",
            "state": "CA",
            "postal_code": "922532923",
            "country_code": "US",
            "telephone_number": "760-777-9127",
            "fax_number": "760-777-9129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELSEY",
        "first_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Ladera Ranch, CA
• Providers in Ladera Ranch, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.