Kelly Family Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

10949 Issued in CT

Legal business name

KELLY FAMILY ORTHODONTICS

Practice address

30 Meadowrue Dr
Glastonbury, CT 06033-4357

Phone

(207) 333-2685

NPI assigned

Feb 7, 2014

Organization subpart

No

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

Authorized official

Name

Gillian R Kelly

Title

Orthodontist

Phone

(207) 333-2685

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1871917179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MEADOWRUE DR",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334357",
            "telephone_number": "207-333-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MEADOWRUE DR",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334357",
            "telephone_number": "207-333-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY FAMILY ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-07",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "GILLIAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "207-333-2685"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "10949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Kattman, PT
• Kayla Leavitt LLC
• Joseph A Kearney, OT
• Hannah Keeley
• Crystal Kelley
• Kelly O'Connell-Seagraves
• Kenneth E. Plourd
• Anne Riordan Kessler, PH.D.
• Robyn Ketover Kessler, LPC
• Gwen Kesten, PH.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.