William Patrick Kelsey III, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

4486 Issued in NE

Practice address

2141 South 63Rd Street
Omaha, NE 68106

Phone

(402) 551-1811

Fax

(402) 280-5093

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• BS Dentistry PC

  • Dental Clinic/Center
  • Omaha, NE
  • NPI 1467969378
  NPD (past)
• Today'S Dentistry at Aksarben, LLC

  • General Practice Dentistry
  • Omaha, NE
  • NPI 1366005209
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1871669895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N 89TH ST",
            "address_2": "STE 203",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144072",
            "telephone_number": "402-390-6006",
            "fax_number": "402-390-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 SOUTH 63RD STREET",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68106",
            "telephone_number": "402-551-1811",
            "fax_number": "402-280-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSEY",
        "first_name": "WILLIAM",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "4486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "36495",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05157",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Nan Kelsey IV, D.D.S.
• Matthew Ryan Kelsey, D.D.S., M.S.
• Sara Jeannette Kelsey, RD, LMNT
• Tiffani L Kelsey
• William Patrick Kelsey V
• Shania Kelso
• Jayson Kemble, DO
• Kaitlan G Kemler
• Adam Joseph Kemp
• Grace M Kemp, DO

• Dentist in Omaha, NE
• Providers in Omaha, NE by specialty
• Dentist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.