Kelly Chong, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN24177 Issued in FL

Practice address

800 E Merritt Island Cswy Ste 105
Merritt Island, FL 32952-3514

Phone

(321) 453-8882

NPI assigned

Jun 13, 2019

Last updated

Jun 25, 2019By the provider in NPPES

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

Locations

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.

• Kelly Chong DDS PA

  • Dental Clinic/Center
  • Orlando, FL
  • NPI 1376263541
  NPD Authorized official
• Cornerstone Dentistry

  • General Practice Dentistry
  • Merritt Island, FL
  • NPI 1154696789
  NPD (past)
• Cornerstone Dentistry Holdings PLLC

  • General Practice Dentistry
  • Merritt Island, FL
  • NPI 1710499538
  NPD (past)

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1861052706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4698 SW 158TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331853874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E MERRITT ISLAND CSWY STE 105",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523514",
            "telephone_number": "321-453-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN24177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Renee Cheney, RN
• Munyaradzi Warren Chinyanganya
• Chiropractic Health Clinic of Brevard PA
• Choices Behavioral Health LLC (Choices Behavioral Health)
• Bindi Gautam Chokshi, MD
• Connie Christensen, MS CCC SLP
• Christopher Management, Inc. (Tropical Living Club 2)
• Lauren Cimino, RMHCI
• Katie Jean Cipriano
• Elsa Marie Clark, MPT

• Dentist in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.