Kelly M Small

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

ATP4377 Issued in TX

Practice address

2306 Guthrie Rd Ste 150
Garland, TX 75043-5078

Phone

(972) 226-9585

Fax

(972) 226-9580

NPI assigned

Jun 6, 2016

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

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.

• Biomedical Engineering Technicians Inc

  • Customized Equipment (DME)
  • Garland, TX
  • NPI 1770044851
  NPD (past)
• MMS Equipment of Dallas Central Inc.

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
  • NPI 1164426144
  NPD (past)

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1982053492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 GUTHRIE RD STE 150",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750435078",
            "telephone_number": "972-226-9585",
            "fax_number": "972-226-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 GUTHRIE RD STE 150",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750435078",
            "telephone_number": "972-226-9585",
            "fax_number": "972-226-9580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 W Mockingbird Ln",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752355630",
            "country_code": "US",
            "telephone_number": "214-951-9710",
            "fax_number": "214-951-9720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALL",
        "first_name": "KELLY",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-06",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "TX",
            "license": "ATP4377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skyline Residential Homes, LLC
• William Slade II
• Megan Slatter
• Stephen Slaughter, M.S.
• Milan Sljivich, M.D.
• Smart Motion Golf LLC
• Grace E Smart, DDS MS
• Smile Magic of Garland, PLLC
• Smilecare Dental, P.L.L.C.
• Smiles So White PLLC

• Other Technician in Garland, TX
• Providers in Garland, TX by specialty
• Other Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.