PATRICIA ROSE KELLY (NPI# 1407958119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407958119 |
Entity Type | Individual |
Full Name | PATRICIA ROSE KELLY |
Credential | DMD |
Practice Address |
4540 Sand Point Way Ne Suite 360 Seattle WA 98105 |
Mailing Address |
4540 Sand Point Way Ne Suite 360 Seattle WA 98105-3941 |
Practice Telephone | 2065222212 |
Practice Fax Number | 2065229494 |
Mailing Telephone | 2065222212 |
Mailing Fax Number | 2065229494 |
Enumeration Date | 2006-09-02 |
Last Update Date | 2010-08-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DR0000141 | WA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720575186 | Patricia Kelly | Physical Therapist | 128 Hampton Dr, Berkeley Heights, NJ 07922-2527 | 2018-04-20 |
1861842908 | Patricia Kelly | Registered Nurse | 9649 Covemeadow Dr, Dallas, TX 75238-1819 | 2016-06-20 |
1124498530 | Patricia Kelly | Registered Nurse | 65 Carman Rd, Scarsdale, NY 10583-6326 | 2015-09-28 |
1568729473 | Patricia Kelly | Social Worker | 6940 N Keating Ave, Lincolnwood, IL 60712-2408 | 2012-04-16 |
1366759532 | Patricia Kelly | Licensed Vocational Nurse | 27 Clinton Rd, Garden City, NY 11530-6338 | 2010-09-08 |
1306080676 | Patricia Ann Kelly | Licensed Practical Nurse | 114 Parsons Rd, Camillus, NY 13031-2144 | 2009-04-29 |
1194924530 | Patricia L Kelly | Psychiatry & Neurology | 2305 Matthew Ave Nw, Albuquerque, NM 87104-3214 | 2007-07-16 |
1023217098 | Patricia Marie Kelly | Specialist | 66 Oak Dr, Calverton, NY 11933-1100 | 2007-07-11 |
1659438976 | Patricia Elizabeth Kelly | Physician Assistant | 116 W Mitchell St, Petoskey, MI 49770-2324 | 2007-01-03 |
1568535045 | Patricia Kelly | Speech-Language Pathologist | 140 S Gilbert Rd, Gilbert, AZ 85296-1016 | 2006-11-15 |
Street Address |
4540 SAND POINT WAY NE SUITE 360 |
City | SEATTLE |
State | WA |
Zip Code | 98105 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750387361 | Thomas Howard Hohl | Dentist | 4540 Sand Point Way Ne, Ste 360, Seattle, WA 98105 | 2005-06-28 |
1144778945 | Georgina Elena Perez | Social Worker | 4540 Sand Point Way Ne, Seattle, WA 98105-3941 | 2016-09-21 |
1265988521 | University Oral Surgery | Clinic/Center | 4540 Sand Point Way Ne, Suite 360, Seattle, WA 98105-3941 | 2016-08-28 |
1346606746 | Erke & Carpenter Pllc | Dentist | 4540 Sand Point Way Ne, Ste 160, Seattle, WA 98105 | 2016-01-14 |
1124461694 | Do-quyen Pham | Pediatrics | 4540 Sand Point Way Ne, Suite 200, Seattle, WA 98105-3941 | 2013-04-15 |
1578829644 | Raina Vachhani Voss | Pediatrics | 4540 Sand Point Way Ne, Building 1, Suite 200, Seattle, WA 98105-3941 | 2012-04-03 |
1043439938 | Anthony Thomas Lovrovich | Dentist | 4540 Sand Point Way Ne, Suite 140, Seattle, WA 98105-3941 | 2007-04-25 |
1639209976 | Tamara A Chinn | Physician Assistant | 4540 Sand Point Way Ne, Suite 200, Seattle, WA 98105-3941 | 2007-03-06 |
1033244413 | Dorie D White | Dentist | 4540 Sand Point Way Ne, Ste 160, Seattle, WA 98105-3941 | 2007-02-23 |
1306971791 | Patricia G Rothwell | Dentist | 4540 Sand Point Way Ne, Ste 160, Seattle, WA 98105-3941 | 2007-02-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
Find all providers in zip 98105 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053875096 | John K Tidwell Dds and Elizabeth A Kutcipal Dds Pllc | Dentist | 1801 Nw Market St Ste 108, Seattle, WA 98107-3909 | 2019-01-23 |
1780151027 | Washington Jaw and Facial Surgery Pllc | Dentist | 2111 N Northgate Way Ste 105, Seattle, WA 98133-9018 | 2018-10-25 |
1952788150 | David J Haralson | Dentist | 509 Olive Way Ste 1331, Seattle, WA 98101-1743 | 2015-04-27 |
1912391350 | Li Han Lai | Dentist | Department of Oral Surgery 1959 Ne Pacific St, Health Sciences Building B-241, Seattle, WA 98195-0001 | 2015-03-24 |
1568693240 | Todd Paul Fairbanks | Dentist | University of Washington Oral Surgery Dept, Box 357134, 1959 Ne Pacific St., Seattle, WA 98195-7134 | 2009-07-29 |
1720292436 | Samuel Louis Bobek | Dentist | 600 Broadway Ste 460, Seattle, WA 98122-5312 | 2007-05-10 |
1669522546 | Thomas Stuart Maring | Dentist | 509 Olive Way Ste 550, Seattle, WA 98101-1736 | 2007-01-11 |
1093882185 | Darlene Michelle Chan | Dentist | 4744 41st Ave Sw Suite 107, Seattle, WA 98116-4566 | 2006-11-30 |
1750387361 | Thomas Howard Hohl | Dentist | 4540 Sand Point Way Ne, Ste 360, Seattle, WA 98105 | 2005-06-28 |
1750842415 | Brian H. Cheung, Dds, Md, Pllc | Dentist | 509 Olive Way Ste 1331, Seattle, WA 98101-1743 | 2019-03-26 |
Find all providers in SEATTLE |
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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.