NPIMap

Organization Active NPI

Kellyn W. Hodges, DMD, Ms, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bensalem, PA
National Provider Identifier
1922849843
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
KELLYN W. HODGES, DMD, MS, PC
Practice address
2212 Street Rd FL 2
Bensalem, PA 19020-3501
Phone
(215) 245-5100
NPI assigned
Jun 4, 2024
Last updated
Jun 4, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
KELLYN W. HODGES, DMD, MS, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Dr. Kellyn HodgesNPI 1194874156
Title
Owner
Phone
(610) 999-7008

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

2212 Street Rd FL 2
Bensalem, PA 19020-3501

Mailing address

1365 Fenimore LN
Gladwyne, PA 19035-1333
Phone (610) 999-7008

National Provider Directory

National Provider Directory
Tax ID family
Kellyn W Hodges DMD Ms PC2 organizations share this tax ID, including this one
Part of
Kellyn W Hodges DMD Ms PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2212 Street Rd
#2
Bensalem, PA 19020
Phone (215) 245-5100

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1922849843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 FENIMORE LN",
            "city": "GLADWYNE",
            "state": "PA",
            "postal_code": "190351333",
            "telephone_number": "610-999-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 STREET RD FL 2",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190203501",
            "telephone_number": "215-245-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLYN W. HODGES, DMD, MS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KELLYN W. HODGES, DMD, MS, PC",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "KELLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-999-7008",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.