KEVIN ERICK KELLEHER (NPI# 1265630404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265630404 |
| Entity Type | Individual |
| Full Name | KEVIN ERICK KELLEHER |
| Credential | D.M.D |
| Practice Address |
2412 Colony Crossing Pl Midlothian VA 23112-4281 |
| Practice Telephone | 8047396673 |
| Mailing Telephone | 8047396673 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2012-12-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
0401411884 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689674202 | Kevin J Kelleher | Family Medicine | 12040 S Lakes Dr, Ste 207, Reston, VA 20191-1246 | 2005-07-26 |
| 1093127235 | Kevin Michael Kelleher | Emergency Medicine | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2014-05-22 |
| 1619049392 | Kevin Charles Kelleher | Family Medicine | 4901 Brambleton Ave, Roanoke, VA 24018-4149 | 2006-11-15 |
| Street Address |
2412 COLONY CROSSING PL |
| City | MIDLOTHIAN |
| State | VA |
| Zip Code | 23112-4281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982170080 | Shonmarra Ylexus Glover | Behavior Technician | 5950 Harbour Lane, Midlothian, VA 23112 | 2018-10-17 |
| 1841778917 | Brett Stires | Behavior Technician | 5950 Harbourt Park Dr, Midlothian, VA 23112 | 2018-08-01 |
| 1538655899 | Surbhi Chandna | Dentist | 5921 Harbour Ln Ste 500, Midlothian, VA 23112 | 2018-07-10 |
| 1184121584 | Katie Marie Kashmer | Behavioral Analyst | 5950 Barbour Park Lane, Midlothian, WA 23112 | 2018-04-11 |
| 1497259832 | Ruth Lynn Kitchens | Occupational Therapist | 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-21 |
| 1487157301 | Susan Stoodt Price | Occupational Therapist | Chesterfield Technical Center Hull, 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-16 |
| 1922500495 | Rayna Veney Piper | Speech-Language Pathologist | 13900 Hull Street Road, Midlothian, VA 23112 | 2018-03-01 |
| 1891202883 | Rochelle Wallace | Behavioral Analyst | 5950 Harbourt Park Dr., Midlothian, VA 23112 | 2017-12-29 |
| 1184138448 | Virginia Medical & Therapeutic Services | Counselor | 13540 E Boundary Rd, Midlothian, VA 23112 | 2017-11-24 |
| 1386169118 | Brandon Poen | Physical Therapist | 2820 Waterford Lake Dr., Unit 013, Midlothian, VA 23112 | 2017-08-14 |
| Find all providers in zip 23112 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629541560 | C William Dabney, PC | Dentist | 304 Browns Hill Ct, Midlothian, VA 23114-9511 | 2019-01-03 |
| 1184962425 | Harry A Dunlevy | Dentist | 11601 Robious Rd Ste 130, Midlothian, VA 23113-5605 | 2013-01-22 |
| 1497839039 | Richard Hardy Lee | Dentist | 14267 Midlothian Turnpike, Midlothian, VA 23113-6560 | 2006-10-24 |
| 1295207942 | Dynamic Dental Health Associates of Virginia, PC | Dentist | 11601 Robious Rd Ste 130, Midlothian, VA 23113-5605 | 2018-12-19 |
| 1285777920 | Charles William Dabney | Dentist | 13321 Midlothian Tpke, Suite A, Midlothian, VA 23113-4270 | 2007-02-14 |
| 1164574521 | Dale C Rogers | Dentist | 6510 Harbour View Ct, Midlothian, VA 23112 | 2007-01-17 |
| 1538211164 | Dwight V Buelow | Dentist | 1612 Huguenot Road, Midlothian, VA 23113 | 2007-01-16 |
| 1902983224 | Harry Raddin Jr. | Dentist | 13841 Hull Street Rd, Suite 4, Midlothian, VA 23112-2056 | 2006-11-01 |
| 1710064043 | April L Bridges-poquis | Dentist | 13841 Hull Street Rd, Suite 4, Midlothian, VA 23112-2056 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841804911 | Justin Groody | Dentist | 900 N 24th St, Richmond, VA 23223-6412 | 2020-09-04 |
| 1609484047 | Nicholas Mcchesney Lynch | Dentist | 520 N 12th St Rm 111, Richmond, VA 23298-5064 | 2020-07-22 |
| 1861021131 | Bailey Orthodontics Pllc | Dentist | 16446 Navigation Drive, Woodbridge, VA 22191 | 2020-04-07 |
| 1649813163 | Ki Youn Kil | Dentist | 800 W Broad St Ste 307, Falls Church, VA 22046-3145 | 2019-10-28 |
| 1811548605 | Morgan Orthodontics | Dentist | 1841 Plaza Dr, Winchester, VA 22601-6365 | 2019-09-24 |
| 1770140030 | M Kent Kiser, Dds, Ltd | Dentist | 1151 E Main St Ste C, Radford, VA 24141-1761 | 2019-05-22 |
| 1679137608 | Deirdre Maull | Dentist | 6845 Elm St Ste 505, Mc Lean, VA 22101-3822 | 2019-04-25 |
| 1356819981 | Novicare Orthodontics Pllc | Dentist | 717 Pendleton St, Alexandria, VA 22314-1820 | 2018-11-13 |
| 1912473505 | Jessica Thai | Dentist | 25055 Riding Plz Ste 110, Chantilly, VA 20152-5918 | 2018-10-22 |
| 1619459633 | Moataz Nasser Elmahdy | Dentist | 2338 East Little Greek Rd, Norfolk, VA 23518 | 2018-09-06 |
| Find all providers with the same taxonomy | ||||
| City | MIDLOTHIAN |
| Zip Code | 23112 |
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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.