Active NPI
Daniel James Kelley, DDS
- Dentist
- Loveland, OH
National Provider Identifier
1851604789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30023243
- Practice address
- 1120 Cottonwood Dr
Suite 100
Loveland, OH 45140-7612 - Phone
- (513) 683-8600
- Fax
- (513) 683-8601
- NPI assigned
- Jul 20, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 30023243 | OH | Primary |
Addresses
Primary practice location
1120 Cottonwood Dr
Suite 100
Loveland, OH 45140-7612
Mailing address
1120 Cottonwood Dr
Suite 100
Loveland, OH 45140-7612
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 |
|---|---|---|---|
| 30023243 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279584000000",
"number": "1851604789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 COTTONWOOD DR",
"address_2": "SUITE 100",
"city": "LOVELAND",
"state": "OH",
"postal_code": "451407612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 COTTONWOOD DR",
"address_2": "SUITE 100",
"city": "LOVELAND",
"state": "OH",
"postal_code": "451407612",
"telephone_number": "513-683-8600",
"fax_number": "513-683-8601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "DANIEL",
"middle_name": "JAMES",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-20",
"last_updated": "2010-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30023243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.