DR. KELLY J DINGRANDO (NPI# 1104918945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104918945 |
| Entity Type | Individual |
| Full Name | DR. KELLY J DINGRANDO |
| Credential | DMD |
| Practice Address |
740 S Limestone A219 Lexington KY 40536 |
| Mailing Address |
800 Rose St D104 Lexington KY 40536-0297 |
| Practice Telephone | 8593235294 |
| Mailing Telephone | 8593236400 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2018-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223D0001X |
Dentist Specialization: Dental Public Health |
8238 | KY | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
8238 | KY | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
8238 | KY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100006880 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 Rose St, Lexington, KY 405360297 | 8593236400 |
| Street Address |
740 S LIMESTONE A219 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336776798 | Kelsey Faulkner Korb | Student in an Organized Health Care Education/Training Program | 740 S Limestone A219, Lexington, KY 40536-0284 | 2020-03-25 |
| 1942761259 | Aneesha Aidunuthula Reddy | Student in an Organized Health Care Education/Training Program | 740 S Limestone A219, Lexington, KY 40536-0001 | 2019-03-28 |
| 1871978296 | Lindsey J Elmore | Dentist | 740 S Limestone A219, Lexington, KY 40536-0001 | 2015-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394583 | Mary Luz Calderon | Physician Assistant | Uk Pediatric Neonatology, 800 Rose St 4th Fl, Lexington, KY 40536 | 2020-07-28 |
| 1598389421 | Storm Bryant Dutton | Physician Assistant | Uk Emergency Department - Chandler, 1000 S Limestone, Lexington, KY 40536 | 2020-06-06 |
| 1720601545 | Tyler Allen Pape | Physician Assistant | Uk Surgery Clinic - General, 740 S Limestone Ste L104, Lexington, KY 40536 | 2020-05-27 |
| 1417579269 | Kacy Clinkenbeard | Physician Assistant | Uk Healthcare-icu, 800 Rose St, Lexington, KY 40536 | 2020-05-15 |
| 1023578804 | William Chalmers Ruffin | Student in an Organized Health Care Education/Training Program | 740 South Limestone St. E300e, Lexington, KY 40536 | 2019-03-20 |
| 1942705728 | Karah Lee Ellen Brown | Dentist | 800 Rose Street, Room D-508, Lexington, KY 40536 | 2018-03-26 |
| 1982109708 | Khader Samir Habash | Dentist | 740 S Limestone Room A262, Lexington, KY 40536 | 2018-03-25 |
| 1609370683 | Casey Michael Fitzgerald | Otolaryngology | 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 | 2018-03-22 |
| 1538663992 | Heather Oaks | Nurse Practitioner | Uk Gill Heart Institute 800 Rose St, Lexington, KY 40536 | 2018-03-21 |
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| Find all providers in zip 40536 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164876280 | Kyle Clayton Kirk | Dentist | 2517 Sir Barton Way # 200, Lexington, KY 40509 | 2016-04-14 |
| 1528429644 | Stephanie Silva | Dentist | 5080 Sunset Blvd Ste B, Lexington, SC 29072-7051 | 2016-03-16 |
| 1841667037 | Midlands Pediatric Dentistry LLC | Dentist | 253 Cedarcrest Dr, Lexington, SC 29072-3812 | 2015-08-24 |
| 1639571607 | Sunset Children's Dentistry | Dentist | 5080 Sunset Blvd, Suite B, Lexington, SC 29072-7051 | 2014-09-22 |
| 1043655392 | Emilee Young Sexton | Dentist | 2549 Sun Seeker Ct, Lexington, KY 40503-2980 | 2013-04-30 |
| 1295920346 | Wild Smiles, LLC | Dentist | 203 North Lake Drive, Lexington, SC 29072 | 2007-09-12 |
| 1639361785 | Daniel John Steckler | Dentist | Ky Clinic Dentistry, Room A-219, Lexington, KY 40536-0001 | 2007-08-13 |
| 1699975904 | Justin C. Clemens | Dentist | 620 Perimeter Dr., Suite 103, Lexington, KY 40517 | 2007-07-24 |
| 1417078726 | Tommy Christopher Burke | Dentist | 10855 Highway 412 W, Lexington, TN 38351-6283 | 2007-04-03 |
| 1699819524 | Dentistry for Children | Dentist | 216 Fountain Court, Suite 150, Lexington, KY 40509 | 2007-02-16 |
| Find all providers in LEXINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.