Organization Active NPI

Kelley and Holt PLLC

  • Pediatric Dentistry
  • Charlotte, NC
National Provider Identifier
1962745992
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
7311 Issued in NC
Legal business name
KELLEY AND HOLT PLLC
Practice address
9601 Brookdale Dr
Suite 400
Charlotte, NC 28215-8725
Phone
(704) 599-3901
NPI assigned
Mar 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Authorized official

Name
Dr. Chelita Kaye Kelley, DDS
Title
Owner/Dentist
Phone
(704) 599-3901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 7311 NC Primary

Addresses

Primary practice location

9601 Brookdale Dr
Suite 400
Charlotte, NC 28215-8725

Mailing address

9601 Brookdale Dr
Suite 400
Charlotte, NC 28215-8725
Phone (704) 599-3901

Other names 1

  • Brookdale Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

9601 Brookdale Dr
Ste 400
Charlotte, NC 28215
Phone (704) 599-3901

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1962745992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 BROOKDALE DR",
            "address_2": "SUITE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282158725",
            "telephone_number": "704-599-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BROOKDALE DR",
            "address_2": "SUITE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282158725",
            "telephone_number": "704-599-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEY AND HOLT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "CHELITA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "704-599-3901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "7311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.