Kelsey Jo McCoy, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12013828A Issued in IN

Practice address

1601 Chase Rd
Logansport, IN 46947-1538

Phone

(574) 732-0000

NPI assigned

Jun 15, 2022

Sex

Female

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

State licenses

Practice roles

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.

• Ladd Dental Group Inc

  • General Practice Dentistry
  • Kokomo, IN
  • NPI 1801810445
  NPD (past)
• Northcentral Indana Orthopedics

  • Orthopaedic Surgery Physician
  • Logansport, IN
  • NPI 1861414427
  NPD (past)

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1811627482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13311 S COUNTY ROAD 500 W",
            "city": "GALVESTON",
            "state": "IN",
            "postal_code": "469328506",
            "telephone_number": "765-437-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CHASE RD",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471538",
            "telephone_number": "574-732-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "KELSEY",
        "middle_name": "JO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12013828A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Martin, BA
• Martin'S Super Markets of Logansport LLC
• John Edward Marvel, MD
• Chay McCarty
• Jessica Yvonne McClintock Glover, MD
• Robert Alan McKissick, M.D.
• Jaiden Marie McMinn
• Josilynn McNeil
• Thomas Jeffory McShannock, LMHC
• Kacey McWherter

• Dentist in Logansport, IN
• Providers in Logansport, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.