DR. ROBERT J. KELLY


Address: 3901 Louisiana Blvd Ne, Suite B, Albuquerque, NM 87110-1577
Phone: 5058812421

DR. ROBERT J. KELLY (NPI# 1922060763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922060763
Entity Type Individual
Full Name DR. ROBERT J. KELLY
Credential D.D.S.
Practice Address 3901 Louisiana Blvd Ne
Suite B
Albuquerque
NM 87110-1577
Practice Telephone 5058812421
Practice Fax Number 5058812841
Mailing Telephone 5058812421
Mailing Fax Number 5058812841
Enumeration Date 2006-04-05
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
NMLL57 NM Dental Providers

Other Providers ROBERT KELLY

NPI Name Taxonomy Address Enumeration
1871902494 Robert Keith Kelly Chiropractor 243 Knoll Woods Dr, Rustburg, VA 24588-3316 2014-08-07
1336402452 Robert Kelly Family Medicine 21 Hampton Rd Bldg 32nd, Exeter, NH 03833-4831 2012-06-22
1922375310 Robert R. Kelly Pediatrics 110 Poncha Ave, Alamosa, CO 81101-2160 2011-11-29
1174708267 Robert D. Kelly Physical Medicine & Rehabilitation 1500 Horizon Dr Ste 102b, Chalfont, PA 18914-3966 2008-01-08
1922202738 Robert B Kelly Neuromusculoskeletal Medicine & OMM 823 Lacey Rd, Forked River, NJ 08731-1203 2007-06-14
1457555054 Robert Henry Kelly Orthopaedic Surgery 1006 Russell Loop, The Villages, FL 32162-6458 2007-06-14
1811101876 Robert H Kelly Dentist 24540 E Welches Rd, Welches, OR 97067-0347 2007-05-09
1902029291 Robert J Kelly Pharmacist 4101 W 95th St, Oak Lawn, IL 60453-3587 2007-04-11
1790850675 Robert Toms Kelly Dentist 1635 Doctors Cir, Wilmington, NC 28401-7405 2006-11-23
1497863039 Robert B Kelly Family Medicine 14601 Detroit Rd Fl 2, Lakewood, OH 44107 2006-08-25

Office Location

Street Address 3901 LOUISIANA BLVD NE
SUITE B
City ALBUQUERQUE
State NM
Zip Code 87110-1577

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639143464 Dennis G. Fillmore Dentist 3901 Louisiana Blvd Ne, Albuquerque, NM 87110-1577 2006-02-16
1982925798 Sandra Mechelle Turner Social Worker 3901 Louisiana Blvd Ne, Suite C, Albuquerque, NM 87110-1577 2010-06-15
1346476009 Sally Carlon Counselor 3901 Louisiana Blvd Ne, Suite C, Albuquerque, NM 87110-1577 2009-06-08
1760627368 Melissa Jeanette Adkins Counselor 3901 Louisiana Blvd Ne, Suite C, Albuquerque, NM 87110-1577 2008-12-10
1336297712 Wilson Radiographic Center of Albuquerque, Inc Dental Laboratory 3901 Louisiana Blvd Ne, Suite E, Albuquerque, NM 87110-1577 2007-01-08
1114023231 James G Glasa Dentist 3901 Louisiana Blvd Ne, Suite C, Albuquerque, NM 87110-1577 2006-09-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215550199 Sabrina Jennifer Lujan Counselor 8401 Constitution Ave Nw, Albuquerque, NM 87110 2020-05-26
1649829318 Robert D. Oliver Technician 2705 Texas Street Ne, Albuquerque, NM 87110 2019-09-05
1033770904 Life Re-created LLC Counselor 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 2019-06-21
1497319693 Clear Choice Vision Care, LLC Optometrist 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 2019-04-24
1790257558 Diana M Nicolas Dietitian, Registered 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 2018-12-18
1689168403 Robin N Hermes, Md, PC Anesthesiology 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 2018-06-15
1710481726 Desert Mountain Eyecare LLC Optometrist 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 2018-03-23
1659873131 Amanda Lacasse Registered Nurse 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 2018-03-01
1518485655 Danielle Liegh Wyne Counselor 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 2017-09-08
1265957237 Myrrhine Faller Speech-Language Pathologist 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 2017-08-10
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841803830 Tri Dental, LLC Dentist 3715 Las Estancias Ct Sw Ste 101, Albuquerque, NM 87121-5506 2020-08-28
1609485077 Joseph Potter Dentist 3510 Coors Blvd Sw, Albuquerque, NM 87121-5328 2020-07-30
1861024861 Brian K Dennis Dds PC Dentist 8400 Osuna Rd Ne Ste 6a, Albuquerque, NM 87111-2073 2020-02-07
1134769235 Abq Dentists PC Dentist 3900 Eubank Blvd Ne Ste 14, Albuquerque, NM 87111-3427 2020-01-07
1477197804 Juan Tabo Dentistry LLC Dentist 1924 Juan Tabo Blvd Ne Ste C, Albuquerque, NM 87112-3358 2019-10-29
1013550094 Bosque Smiles Dentistry, LLC Dentist 5600 Coors Blvd Nw Ste G4, Albuquerque, NM 87120-1877 2019-10-23
1134686298 Brandon James Clayton Dentist 2003 Southern Blvd Se # 133-134, Albuquerque, NM 87124-3751 2019-02-25
1881158822 Advantage Dental Care Dentist 9212 Montgomery Blvd Ne, Albuquerque, NM 87111-2408 2019-01-23
1124599253 Kirtland Family Dentistry LLC Dentist 8521 Central Ave Ne Ste 101, Albuquerque, NM 87108-2501 2018-12-16
1962998443 Salia Khayoumi Dentist 333 San Mateo Blvd Se, Albuquerque, NM 87108-2919 2018-07-08
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Competitor

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City ALBUQUERQUE
Zip Code 87110

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Dataset Information

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.

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