David P Kelly, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D4466 Issued in AZ

Practice address

3275 W Ina Rd Ste 101
Tucson, AZ 85741-2152

Phone

(520) 888-2900

Fax

(520) 408-1854

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

Yes

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 and National Provider Directory roles.

• Kelly Dental Group PLLC

  • Dental Clinic/Center
  • Tucson, AZ
  • NPI 1952110868
  NPD Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902969843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 W INA RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412152",
            "telephone_number": "520-888-2900",
            "fax_number": "520-408-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 W INA RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412152",
            "telephone_number": "520-888-2900",
            "fax_number": "520-408-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "DAVID",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D4466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Dental Group PLLC
• Alan Kelly, RN
• Amy Kelly
• Avery Kelly
• Brian Kelly, PT, DPT
• Denise Mary Kelly, RN
• Diane Kelly, MD
• Erin Michelle Kelly, M.S.
• George Washington Kelly, MA, LPC
• Jade Marie Kelly

• General Practice Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Practice Dentistry in Arizona

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.