Kevin M Kelaher, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12361 Issued in MA

Practice address

100 Highland Ave
Suite 103
Salem, MA 01970-2702

Phone

(978) 740-5135

Fax

(978) 740-5105

NPI assigned

Mar 29, 2007

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

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Kevin M. Kelaher, D.M.D., P.C.

  • General Practice Dentistry
  • Salem, MA
  • NPI 1760531388
  NPD (past) Authorized official
• Highland Dental Group LLC

  • General Practice Dentistry
  • Salem, MA
  • NPI 1013390996
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902926520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND AVE",
            "address_2": "SUITE 103",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702702",
            "telephone_number": "978-740-5135",
            "fax_number": "978-740-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND AVE",
            "address_2": "SUITE 103",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702702",
            "telephone_number": "978-740-5135",
            "fax_number": "978-740-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELAHER",
        "first_name": "KEVIN",
        "middle_name": "M",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "12361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Kaveski
• Elizabeth Keane, NP
• Meaghan Crowley Kearns, M.D.
• Ashley Keeney
• Richard John Keimig, CADAC
• Amy Marie Kelly, RPH
• Kaitlin Kelly
• Anne J Kelty, ND, LMT
• Andrew J Kemper, MD
• Kenney & Associates PC

• General Practice Dentistry in Salem, MA
• Providers in Salem, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.