JEFFREY ADAM KELLEY SR. (NPI# 1447353032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447353032 |
| Entity Type | Individual |
| Full Name | JEFFREY ADAM KELLEY SR. |
| Credential | DDS |
| Practice Address |
2924 W 6th St Fort Worth TX 76107-2213 |
| Mailing Address |
2924 W 6th St Ft Worth TX 76107-2213 |
| Practice Telephone | 8178771651 |
| Practice Fax Number | 8178773337 |
| Mailing Telephone | 8178771651 |
| Mailing Fax Number | 8178773337 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 14320 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861948507 | Jeffrey Byrne Kelley | Pharmacist | 2101 S Princeton Rd, Ottawa, KS 66067 | 2016-09-01 |
| 1629213905 | Jeffrey Don Kelley | Dentist | 4501 Old Spartanburg Rd Ste 4, Taylors, SC 29687-4105 | 2008-12-15 |
| 1932298387 | Jeffrey Robert Kelley | Family Medicine | 12522 Greenspoint Dr, Houston, TX 77060-1308 | 2006-10-12 |
| 1386281566 | Jeffrey Kelley | Massage Therapist | 185 W 4th Ave, Post Falls, ID 83854-4978 | 2019-12-05 |
| 1821390436 | Jeffrey Glen Kelley | Physician Assistant | 1840 Medical Center Pkwy, Suite 200, Murfreesboro, TN 37129-3199 | 2010-12-02 |
| 1730244732 | Jeffrey Olin Kelley | Dentist | 25 N State St, Zeeland, MI 49464-1210 | 2006-12-27 |
| Street Address |
2924 W 6TH ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354179 | Perla Dental of Keller Pa | Dentist | 5325 Golden Triangle Blvd Ste 100, Fort Worth, TX 76244-4469 | 2020-10-22 |
| 1962028514 | Christopher Thomas Mathew | Dentist | 4744 Bryant Irvin Rd, Fort Worth, TX 76132-3646 | 2020-06-19 |
| 1376016469 | Brident Dental Associates PC | Dentist | 815 E Berry St Ste B, Fort Worth, TX 76110-4457 | 2019-01-10 |
| 1972089241 | Hulen Dental Partners Pplc | Dentist | 6217 Oakmont Blvd, Fort Worth, TX 76132-2812 | 2018-07-19 |
| 1811473499 | Oak View Family Dentistry Pllc | Dentist | 8201 N. Beach St. Unit 101, Fort Worth, TX 76244 | 2018-07-17 |
| 1184118465 | Lisa Tran | Dentist | 515 W Loop 820 N Ste 101, Fort Worth, TX 76108-1450 | 2018-06-19 |
| 1548772213 | Ideal Dental of West 7th Pllc | Dentist | 628 Harrold St Ste 124, Fort Worth, TX 76107-2323 | 2017-11-02 |
| 1396269429 | Matthew Pedroza | Dentist | 4625 Feathercrest Dr., Fort Worth, TX 76137 | 2017-07-31 |
| 1083138341 | Shakti Darshan Pllc | Dentist | 10313 Roatan Trl, Fort Worth, TX 76244-2039 | 2017-07-28 |
| 1336662022 | Ben Luka | Dentist | 639 Alta Mere Dr, Fort Worth, TX 76114 | 2017-07-25 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76107 |
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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.