Organization Active NPI

J. Don Kelley DMD PA

  • Dental Clinic/Center
  • Taylors, SC
National Provider Identifier
1881830651
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
30-01944 Issued in SC
Legal business name
J. DON KELLEY DMD PA
Practice address
4501 Old Spartanburg Rd Ste 4
Taylors, SC 29687-4105
Phone
(864) 244-0044
Fax
(864) 244-1104
NPI assigned
Dec 30, 2008
Last updated
Dec 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2008

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

Authorized official

Name
Dr. Jeffrey Don Kelley, DMDNPI 1629213905
Title
President
Phone
(864) 244-0044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 30-01944 SC Primary

Addresses

Primary practice location

4501 Old Spartanburg Rd Ste 4
Taylors, SC 29687-4105

Mailing address

4501 Old Spartanburg Rd Ste 4
Taylors, SC 29687-4105
Phone (864) 244-0044

National Provider Directory

National Provider Directory

Locations

4501 Old Spartanburg Rd
Ste 4
Taylors, SC 29687
Phone (864) 244-0044

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1881830651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 OLD SPARTANBURG RD STE 4",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296874105",
            "telephone_number": "864-244-0044",
            "fax_number": "864-244-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 OLD SPARTANBURG RD STE 4",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296874105",
            "telephone_number": "864-244-0044",
            "fax_number": "864-244-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. DON KELLEY DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-30",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-244-0044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "30-01944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylors, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; 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.