KELLY WALSH WHITELEY (NPI# 1346625431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346625431 |
| Entity Type | Individual |
| Full Name | KELLY WALSH WHITELEY |
| Credential | D.M.D. |
| Practice Address |
450 New Market Blvd Ste 2 Boone NC 28607 |
| Mailing Address |
450 New Market Blvd Ste 2 Boone NC 28607-5501 |
| Practice Telephone | 8282651112 |
| Mailing Telephone | 8282651112 |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2020-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 6777 | NV | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10959 | NC | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 450 New Market Blvd Ste 2, Boone, NC 28607 | 8282651112 |
| Street Address |
450 NEW MARKET BLVD STE 2 |
| City | BOONE |
| State | NC |
| Zip Code | 28607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205325164 | Shayla Walker | Dentist | 450 New Market Blvd Ste 2, Boone, NC 28607-5501 | 2018-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184261232 | Blaire E. Warren, Dds, Pllc | Clinic/Center | 142 Doctors Drive, Boone, NC 28607 | 2019-12-09 |
| 1073176871 | Whitney B Van Sant | Psychologist | 719-a Greenway Rd., Boone, NC 28607 | 2019-04-17 |
| 1710489273 | Appalachian Regional Medical Associates Inc | Internal Medicine | Appgastro - Asc, 870 State Farm Rd, Ste 102, Boone, NC 28607 | 2018-03-01 |
| 1891234019 | Laura Kacere | Counselor | 895 State Farm Rd Ste 507-5, Boone, NC 28607 | 2017-02-21 |
| 1902357320 | Innate Chiropractic - Pllc | Chiropractor | 838 State Farm Road, Ste 1, Boone, NC 28607 | 2016-10-20 |
| 1437519501 | David Hale Johnson | Nurse Practitioner | 169 Doctors Drive, Boone, NC 28607 | 2016-03-02 |
| 1639538895 | Lara Mele | Lactation Consultant, Non-RN | 180 Pine Hill Road, Boone, NC 28607 | 2016-02-16 |
| 1659749927 | Rachel Arledge | Counselor | 895 State Farm Rd. Bldg. 500, Ste. 505, Boone, NC 28607 | 2015-09-03 |
| 1184000234 | Ruby Amanda Stipe Blaylock | Physician Assistant | 2146 Blowing Rock Road - App Urgent Care, Boone, NC 28607 | 2015-07-30 |
| 1750778916 | Kristin Willis Harmon | Social Worker | 950 State Farm Road, Greenway Bldg 2nd Floor, Boone, NC 28607 | 2015-04-24 |
| Find all providers in zip 28607 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699947978 | Steven Airey Dds-pa | Dentist | 166 Furman Rd, Suite A, Boone, NC 28607-5064 | 2008-03-27 |
| 1356539449 | Christopher Aaron Gordon | Dentist | 450 New Market Blvd Ste 4, Boone, NC 28607-5501 | 2007-10-15 |
| 1376755546 | Michael K. Taylor D.d.s., P.a. | Dentist | 870 State Farm Rd Ste 103a, Boone, NC 28607-4862 | 2007-05-03 |
| 1770605511 | Robert Craig Bridgeman | Dentist | 2348 Highway 105, Suite1, Boone, NC 28607-7802 | 2007-04-04 |
| 1508938440 | Gary Stephen Luna | Dentist | 1515 S Marshall Street, Boone, IA 50036-5312 | 2006-11-15 |
| 1366512907 | Gregory Todd Moore | Dentist | 726 State Farm Rd Ste A, Boone, NC 28607-4945 | 2006-11-09 |
| 1316034648 | Robert Herrick Bridgeman | Dentist | 2348 Hwy 105, Suite 1, Boone, NC 28607 | 2006-10-06 |
| 1548285869 | Robert H Booth | Dentist | 703 8th St, Boone, IA 50036-2727 | 2006-07-13 |
| 1497240808 | Chelsea Erin Kuyath | Dentist | 870 State Farm Rd Ste 103a, Boone, NC 28607-4862 | 2018-06-27 |
| 1205325164 | Shayla Walker | Dentist | 450 New Market Blvd Ste 2, Boone, NC 28607-5501 | 2018-05-07 |
| Find all providers in BOONE | ||||
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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.