DR. KELLY A JONES (NPI# 1477843936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477843936 |
Entity Type | Individual |
Full Name | DR. KELLY A JONES |
Credential | D.D.S. |
Practice Address |
1705 Broadway Ave S Ste B Rochester MN 55904-7960 |
Mailing Address |
1042 Plummer Cir Sw Rochester MN 55902-2036 |
Practice Telephone | 5072880102 |
Practice Fax Number | 5072521445 |
Mailing Telephone | 6082061233 |
Mailing Fax Number | 5072521445 |
Enumeration Date | 2011-04-18 |
Last Update Date | 2017-11-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
6800-15 | WI | Dental Providers |
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D13120 | MN | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326656661 | Kelly Dawn Jones | Technician | 101 Boulder Dr, Summersville, WV 26651-1531 | 2020-07-22 |
1013449610 | Kelly Jones | Community Health Worker | 6262 E Joyce Ln, Inverness, FL 34452-7634 | 2017-04-01 |
1538602461 | Kelly Jones | Physical Therapy Assistant | 17 Old Jarvis Ave, Holyoke, MA 01040-1828 | 2016-11-26 |
1063861656 | Kelly Dunn Jones | Occupational Therapy Assistant | 12625 Watson Seed Farm Rd, Whitakers, NC 27891 | 2016-06-06 |
1598160699 | Kelly Jones | Physician Assistant | 5809 W County Road 950 N, Middletown, IN 47356-9458 | 2014-10-31 |
1811397631 | Kelly Jean Jones | Specialist/Technologist, Other | 3232 N Locust St Apt 1123, Denton, TX 76207-7495 | 2014-08-28 |
1457773707 | Kelly R Jones | Dietitian, Registered | 265 Cambridge Ln, Newtown, PA 18940-3323 | 2014-01-06 |
1316249014 | Kelly Jones | Licensed Practical Nurse | 4396 Furman Ave Apt 1b, Bronx, NY 10466-1543 | 2010-12-01 |
1912023508 | Kelly G Jones | Social Worker | 198 Commerce Way, Dover, DE 19904-8210 | 2007-03-22 |
1144388372 | Kelly M Jones | Dentist | 9807 Mcsara Ct., Spanish Fort, AL 36527 | 2006-12-04 |
Street Address |
1705 BROADWAY AVE S STE B |
City | ROCHESTER |
State | MN |
Zip Code | 55904-7960 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558912303 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1200 Eastgate Drive S.e., Rochester, MN 55904 | 2019-09-24 |
1952954992 | Jane Yaakni Hopaki | Midwife | 1224 Eastgate Dr Se, Rochester, MN 55904 | 2019-07-18 |
1851896187 | Hamdi A Ali | Pediatrics | 26 Mayo Park Dr Se, Rochester, MN 55904 | 2018-03-28 |
1255847059 | Brooke Maleszewski | Nurse Practitioner | 821 3rd Ave Se Ste 15, Rochester, MN 55904 | 2017-12-17 |
1699215988 | Maximus Language Resources | Interpreter | 1775 3rd Ave Se, Rochester, MN 55904 | 2017-03-06 |
1215484803 | Kylene Starr Allen | Social Worker | 343 Woodlake Dr. Se, Zumbro Valley Health Center, Rochester, MN 55904 | 2016-09-01 |
1013384627 | Breathe Easy Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 40 16th St. Sw Suite G, Rochester, MN 55904 | 2015-08-31 |
1932473105 | Michelle Lee Sather | Counselor | 343 Woodlake Drive Se, Rochester, MN 55904 | 2012-03-05 |
1538453022 | Amy M Carey | Social Worker | 40 16th Street Sw, Suite D, Rochester, MN 55904 | 2011-06-02 |
1396059895 | Lisa Marie Bingham | Optometrist | 111 S. Broadway, Rochester, MN 55904 | 2010-07-27 |
Find all providers in zip 55904 |
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 |
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 |
1063424844 | Gary Don Wendell | Dentist | 16 Whitehall Rd, Rochester, NH 03867 | 2006-08-12 |
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.