Chelita Kaye Kelley, D.D.S.

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

7311 Issued in NC

Practice address

1801 Rozzelles Ferry Rd
Pediatric Dentistry
Charlotte, NC 28208-4228

Phone

(704) 350-7305

Fax

(704) 350-7304

NPI assigned

Jan 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1962549758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 ROZZELLES FERRY RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282084228",
            "telephone_number": "704-350-7305",
            "fax_number": "704-350-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 ROZZELLES FERRY RD",
            "address_2": "PEDIATRIC DENTISTRY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282084228",
            "telephone_number": "704-350-7305",
            "fax_number": "704-350-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "CHELITA",
        "middle_name": "KAYE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "7311",
            "primary": false
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NC",
            "license": "7311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905875",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Keller, NP
• Kelly L Kellerman, LCSW
• Kelley and Holt PLLC
• Jenna Lynn Kelley Haque, LMFT
• Chandra Kelley, M.S., CF-SLP
• Emma Kelley
• Kailey Kelley, LCSW
• Kelsey Jean Kelley, OTR/L
• Lisa M Kelley, N.P.
• Mya H Kelley, M.A., CCC-SLP

• Public Health Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Public Health Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.