Organization Active NPI

Kate Kelly DDS Inc

Doing business as Williams Family Dental

  • Dentist
  • Westlake, OH
National Provider Identifier
1922545813
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30022338 Issued in OH
Legal business name
KATE KELLY DDS INC
Doing business as
Williams Family Dental
Practice address
2750 Dover Center Rd
Westlake, OH 44145-4501
Phone
(440) 835-7272
NPI assigned
Jan 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
Kate Kelly, DDS
Title
Owner
Phone
(440) 835-7272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 30022338 OH Primary

Addresses

Primary practice location

2750 Dover Center Rd
Westlake, OH 44145-4501

Mailing address

2750 Dover Center Road
Westlake, OH 44145

Other names 1

  • Williams Family Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1922545813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 DOVER CENTER ROAD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "44145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 DOVER CENTER RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454501",
            "telephone_number": "440-835-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATE KELLY DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-835-7272",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30022338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williams Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.