Active NPI
Kelly Krekel, DDS
- Pediatric Dentistry
- Salisbury, NC
National Provider Identifier
1831543594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 10973
- Practice address
- 140 Mahaley Ave Ste B
Salisbury, NC 28144 - Phone
- (814) 771-9597
- NPI assigned
- Apr 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 10973 | NC | Primary |
Addresses
Primary practice location
140 Mahaley Ave Ste B
Salisbury, NC 28144
Mailing address
1750 Camden Rd Apt 367
Charlotte, NC 28203-6559
Phone (516) 647-1004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10973 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531094400000",
"number": "1831543594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 CAMDEN RD APT 367",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282036559",
"telephone_number": "516-647-1004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 MAHALEY AVE STE B",
"city": "SALISBURY",
"state": "NC",
"postal_code": "28144",
"telephone_number": "814-771-9597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREKEL",
"first_name": "KELLY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-19",
"last_updated": "2018-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "NC",
"license": "10973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.