DR. CHERYL A. KELLEY (NPI# 1477585651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477585651 |
| Entity Type | Individual |
| Full Name | DR. CHERYL A. KELLEY |
| Credential | D.M.D. |
| Practice Address |
370 White Spruce Blvd Rochester NY 14623-1604 |
| Practice Telephone | 5854245005 |
| Practice Fax Number | 5854750096 |
| Mailing Telephone | 5854245005 |
| Mailing Fax Number | 5854750096 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
036886 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01039505 | 05 | |
| NY | BC/BS # | 9561 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063676476 | Cheryl Ann Kelley | Registered Nurse | 1917 Cedar Dr, Bryant, AR 72019-6385 | 2008-07-15 |
| 1306838602 | Cheryl Ann Kelley | Nurse Practitioner | 5311 Big Spring Hwy, Snyder, TX 79549-6347 | 2005-08-22 |
| 1225638653 | Cheryl R Kelley | Pharmacist | 432 S George Nigh Expy, Mcalester, OK 74501-6025 | 2020-10-26 |
| 1124428263 | Cheryl Kelley | Counselor | 3031 W Ih 10, San Antonio, TX 78201-5159 | 2014-08-26 |
| 1962493080 | Cheryl L Kelley | Physical Therapist | 300 Pell Ave, Rocky Mount, VA 24151-1134 | 2005-10-31 |
| Street Address |
370 WHITE SPRUCE BLVD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14623-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637141 | Cornerstone Dental of Henrietta | Dentist | 2104 E. Henrietta Road, Rochester, NY 14623 | 2018-01-25 |
| 1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
| 1932649522 | Annette F. Cranker | Registered Nurse | 100 Groton Parkway, Rochester, NY 14623 | 2017-03-01 |
| 1588049258 | Lisa Parnell | Nurse Practitioner | 200 East River Road, Rochester, NY 14623 | 2015-07-23 |
| 1811371610 | Deanna Phoenix | Pharmacist | Elm & Carlton Streets, Main Hospital, Roswell Park Cancer Institute, Buffalo, NY 14623 | 2015-07-13 |
| 1518340801 | Erin Wong | Counselor | 945 E. Henrietta Rd, Suite 7a, Rochester, NY 14623 | 2015-07-04 |
| 1427437490 | Sarah Beren | Counselor | 115 Metro Park, Rochester, NY 14623 | 2015-05-23 |
| 1346628930 | Bohdan Klymochko | Family Medicine | 1300 Jefferson Rd Ste 100, Rochester, NY 14623 | 2015-05-14 |
| 1306242763 | Rochester Institute of Technology | Psychiatric Unit | 1 Lomb Memorial Drive, Rochester, NY 14623 | 2014-11-13 |
| 1972904423 | Jonathan Bloom | Urology | 400 White Spruce Blvd Ste B, Rochester, NY 14623 | 2014-09-15 |
| Find all providers in zip 14623 | ||||
| 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 |
|---|---|---|---|---|
| 1043789639 | Small To Tall, Dentistry for Children, Pllc | Dentist | 3171 Chili Ave Ste 400, Rochester, NY 14624-5440 | 2018-11-13 |
| 1366829541 | Andrew B Winslow | Dentist | 625 Elmwood Ave., Rochester, NY 14620 | 2015-04-27 |
| 1609272822 | Rochester Pediatric Dentistry LLC | Dentist | 1705 S Boradway Ave Ste B, Rochester, MN 55904-7960 | 2014-11-16 |
| 1336427384 | Cynthia Laurel Wong | Dentist | 2400 South Clinton Avenue, Suite 125, Rochester, NY 14620 | 2011-07-25 |
| 1477843936 | Kelly A Jones | Dentist | 1705 Broadway Ave S Ste B, Rochester, MN 55904-7960 | 2011-04-18 |
| 1528267242 | Lindsey Keck | Dentist | 261 Averill Ave, Rochester, NY 14620-1301 | 2007-07-12 |
| 1114076619 | Dentistry for Children and Adolescents, Ltd. | Dentist | 2743 Superior Dr Nw, Rochester, MN 55901-1773 | 2007-01-10 |
| 1376646604 | David P. Durr | Dentist | 2061 Ridge Rd W, Rochester, NY 14626-2782 | 2006-09-05 |
| 1306948443 | Daniel H Glowinsky | Dentist | 3171 Chili Ave, Suite 400, Rochester, NY 14624 | 2006-09-01 |
| 1174638183 | Thomas C Burm Jr. | Dentist | 523 Beahan Rd, Rochester, NY 14624-3403 | 2006-08-20 |
| Find all providers in ROCHESTER | ||||
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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.