KELLY LYNNE WALTERS (NPI# 1891021432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891021432 |
| Entity Type | Individual |
| Full Name | KELLY LYNNE WALTERS |
| Credential | D.M.D. |
| Practice Address |
1001 Main St Fishkill NY 12524-1786 |
| Mailing Address |
8 Stringham Rd Poughkeepsie NY 12603-3906 |
| Practice Telephone | 8458968880 |
| Practice Fax Number | 8458962439 |
| Mailing Telephone | 8452498268 |
| Enumeration Date | 2009-11-01 |
| Last Update Date | 2009-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
50054467 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033410956 | Kelly Rotella Walters | Psychologist | 5 Walter E Foran Blvd Ste 2002, Flemington, NJ 08822-4674 | 2010-11-09 |
| 1407836828 | Kelly Nicole Walters | Nurse Practitioner | 150 Health Partners Circle, Mt. Orab, OH 45154-1101 | 2006-01-20 |
| 1770110397 | Kelly M Walters | Student in an Organized Health Care Education/Training Program | 550 16th St Fl Hall4, San Francisco, CA 94143-2549 | 2020-03-24 |
| 1730744574 | Kelly Walters | Counselor | 311 E Market St, Lima, OH 45801-4535 | 2019-05-07 |
| 1336616226 | Kelly Walters | Marriage & Family Therapist | 101 Dehler Dr, Sartell, MN 56377-4407 | 2018-10-29 |
| 1902384704 | Kelly David Walters | Counselor | 316 W Boone Ave Ste 577, Spokane, WA 99201-2346 | 2018-08-02 |
| 1306132865 | Kelly Walters | Nurse Practitioner | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2011-06-23 |
| 1811147663 | Kelly Jean Walters | Registered Nurse | 1657 Kensington Ave, Buffalo, NY 14215-1412 | 2008-09-29 |
| 1689719031 | Kelly M Walters | Case Manager/Care Coordinator | 1555 Humboldt St, Denver, CO 80218-1614 | 2007-02-21 |
| 1508912742 | Kelly J. Walters | Dentist | 1424 Live Oak Blvd, Yuba City, CA 95991-2910 | 2007-01-27 |
| Street Address |
1001 MAIN ST |
| City | FISHKILL |
| State | NY |
| Zip Code | 12524-1786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821279662 | Lawrence Jay White | Dentist | 1001 Main St, Fishkill Dental, Fishkill, NY 12524-1786 | 2007-11-20 |
| 1134266455 | Nicholas C Violino | Dentist | 1001 Main St, Fishkill, NY 12524-1786 | 2007-01-30 |
| 1023163532 | Jeffrey Harris Blum | Dentist | 1001 Main St, Fishkill, NY 12524-1786 | 2007-01-24 |
| 1629123146 | Lawrence J Lelvine | Dentist | 1001 Main St, Fishkill, NY 12524-1786 | 2007-01-24 |
| 1295880730 | Jaime P Portalatin | Dentist | 1001 Main St, Fishkill, NY 12524-1786 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306392659 | Leandra Carr | Licensed Practical Nurse | 3 Mountain View Knolls Drive, Fishkill, NY 12524 | 2016-08-28 |
| 1558738427 | Teresa Williams | Speech-Language Pathologist | 51 Shirley Ave, Fishkill, NY 12524 | 2015-08-27 |
| 1689088742 | Cardiovascular and Medical Associate of The Hudson Valley PC | Internal Medicine | 841 Route 52 Suite 6, Fishkill, NY 12524 | 2014-06-17 |
| 1366876377 | Bohdan Darnobid | Physician Assistant | 121 Red School House Road, Fishkill, NY 12524 | 2013-08-27 |
| 1396007530 | Rebecca Gowans Roper-eckstein | Psychologist | 24 Old Glenham Road, Fishkill, NY 12524 | 2012-06-13 |
| 1083989859 | Nicos Nicolaou | Pathology | 400 Westage Business Ctr Dr Ste 209, Fishkill, NY 12524 | 2012-03-13 |
| 1760776256 | Janice Jacqueline Thomas-green | Registered Nurse | 62 Hoose Blvd, Fishkill, NY 12524 | 2011-06-02 |
| 1548494776 | Jacquelyn A Lindsay | Social Worker | 1575 Route 376 At New Hackensack Road, Wappingers Falls, NY 12524 | 2009-05-01 |
| 1154512838 | Joan J Miles | Registered Nurse | 74 Highland Ct, Fishkill, NY 12524 | 2007-08-07 |
| 1902097884 | Optical Fashions Corp | Technician/Technologist | 200 Westage Business Center Drive, Fishkill, NY 12524 | 2007-08-06 |
| Find all providers in zip 12524 | ||||
| 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 |
|---|---|---|---|---|
| 1407061070 | Marvin Rosenthal | Dentist | 831 Route 52, Fishkill, NY 12524-1563 | 2007-05-14 |
| 1134266455 | Nicholas C Violino | Dentist | 1001 Main St, Fishkill, NY 12524-1786 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616356 | Nathan Light | Dentist | M Dental Care PC, 337 Lenox Ave, New York, NY 10027 | 2020-10-09 |
| 1467069575 | Thomas P. Shannon, Dds, Professional Corporation | Dentist | 44 W 28th St Fl 14, New York, NY 10001-4212 | 2020-09-23 |
| 1508471665 | Daniella Davis | Dentist | 500 Portion Rd Ste 15, Lake Ronkonkoma, NY 11779-4587 | 2020-09-14 |
| 1144835927 | Nikhil Narkhede | Dentist | 401 Columbus Ave Ste 100, Valhalla, NY 10595-1349 | 2020-09-09 |
| 1619580040 | Amanda Beth Albin | Dentist | 62 Lake Ave S Ste A, Nesconset, NY 11767-1094 | 2020-08-25 |
| 1770109589 | Empire State Orthodontics, P.C. | Dentist | 2840 Military Rd, Niagara Falls, NY 14304-1566 | 2020-06-18 |
| 1457986044 | Todd Weinberger | Dentist | 1097 Old Country Rd Ste 203, Plainview, NY 11803-6505 | 2020-03-04 |
| 1851926513 | Miang Chneh C Teo | Dentist | 1100 Pelham Pkwy S, Bronx, NY 10461-1001 | 2020-03-03 |
| 1871127209 | Parisa Zare | Dentist | 40 Waterside Plz Apt 23e, New York, NY 10010-2633 | 2020-02-25 |
| 1427680776 | Sfc Orthodontics P.C. | Dentist | 738 58th St., 1st Floor, Brooklyn, NY 11220 | 2020-02-05 |
| Find all providers with the same taxonomy | ||||
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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.