William M. Kelly, D.D.S., M.S., LTD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

019013853 Issued in IL

Legal business name

WILLIAM M. KELLY, D.D.S., M.S., LTD

Practice address

11 S 6TH St
St Charles, IL 60174-2706

Phone

(630) 584-9666

Fax

(630) 584-9681

NPI assigned

May 29, 2009

Organization subpart

No

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

Authorized official

Name

Dr. William M. Kelly, D.D.S., M.S.

Title

Orthodontist/Owner

Phone

(630) 584-9666

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Daniel Martin Kelly, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • St Charles, IL
  • NPI 1831470715
  NPD (past)

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1801022256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 S 6TH ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742706",
            "telephone_number": "630-584-9666",
            "fax_number": "630-584-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 S 6TH ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742706",
            "telephone_number": "630-584-9666",
            "fax_number": "630-584-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM M. KELLY, D.D.S., M.S., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ORTHODONTIST/OWNER",
        "authorized_official_telephone_number": "630-584-9666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "019013853",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "019026074",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Wiacek, PT, DPT
• Autumn Michele Wiborg, LPC
• Tracie A Wilcox, M.D.
• Amy Wildman, LCSW
• Tracy Wilks
• Jacqueline Marie Williams, D.C.
• Rhonda Kay Williams, M.D.
• Tamika T Williams, OD
• David Aaron Williamson, D.C.
• Samuel Lloyd Wilson, PT, DPT

• Orthodontics and Dentofacial Orthopedics Dentistry in St Charles, IL
• Providers in St Charles, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.