DR. DANIEL REIRDON KELLY (NPI# 1528100047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528100047 |
Entity Type | Individual |
Full Name | DR. DANIEL REIRDON KELLY |
Credential | DMD |
Practice Address |
905 Rio East Court Suite B Charlottesville VA 22901 |
Practice Telephone | 4349774592 |
Practice Fax Number | 4349770675 |
Mailing Telephone | 4349774592 |
Mailing Fax Number | 4349770675 |
Enumeration Date | 2007-02-12 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
0401008605 | VA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134513146 | Daniel Kelly | Dentist | 2301 W Sample Rd Ste 7b, Pompano Beach, FL 33073-3081 | 2015-03-27 |
1386748382 | Daniel L Kelly | Dentist | 2401 S Washington St, Suite B, Grand Forks, ND 58201-6747 | 2006-09-11 |
1770548265 | Daniel Joseph Kelly | Ophthalmology | 405 E 7th St, The Dalles, OR 97058-2607 | 2006-04-19 |
1922089556 | Daniel R Kelly | Family Medicine | 701 Randolph St Ste 120, Radford, VA 24141-3047 | 2005-11-10 |
1770133803 | Daniel James Kelly | Social Worker | 12 Union St, Rockland, ME 04841-2739 | 2019-09-20 |
1265082168 | Daniel Richard Kelly | Nurse Practitioner | 6565 Fannin St, Houston, TX 77030-2703 | 2019-09-13 |
1386120541 | Daniel Clark Kelly | Counselor | 6753 State Rd, Parma, OH 44134-4517 | 2018-07-11 |
1417480831 | Daniel Kelly | Student in an Organized Health Care Education/Training Program | 2500 N State St, Jackson, MS 39216-4500 | 2017-04-04 |
1194061390 | Daniel Brian Kelly | Physical Therapist | 129 W 36th St, Erie, PA 16508-2903 | 2012-12-17 |
1154689917 | Daniel Joseph Kelly | Family Medicine | 940 Hesters Crossing Rd, Round Rock, TX 78681-8018 | 2012-04-30 |
Street Address |
905 RIO EAST COURT SUITE B |
City | CHARLOTTESVILLE |
State | VA |
Zip Code | 22901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437291952 | Ellen Ramos Kelly | Dentist | 905 Rio East Court, Suite B, Charlottesville, VA 22901 | 2007-02-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124641501 | John Mccord | Speech-Language Pathologist | English Meadows, 1220 Crozet Ave, Crozet, VA 22901 | 2020-05-20 |
1922566017 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 27 Discovery Dr, Bluffton, SC 22901 | 2019-03-07 |
1477011872 | Courtney Dyan Bonilla | Counselor | 633 Berkmar Circle, Charlottesville, VA 22901 | 2019-03-05 |
1558855346 | Dana Scott | Counselor | 696 Berkmar Cir Ste 3b, Charlottesville, VA 22901 | 2018-06-15 |
1043725336 | M Clinic, LLC | Internal Medicine | 406 Albemarle Square, Charlottesville, VA 22901 | 2017-12-08 |
1033620380 | Cheryl K Cottrell | Counselor | 875 East Rio Court, Charlottesville, VA 22901 | 2017-10-13 |
1114389640 | Heather Lorin Broach | Physical Therapist | 2331 Seminole Ln Ste 103, Charlottesville, VA 22901 | 2016-03-23 |
1649669904 | Costco Wholesale Corporation | Pharmacy | 3171 District Ave, Charlottesville, VA 22901 | 2015-01-09 |
1083988778 | Melissa Stanley | Nurse Practitioner | 1356 River Rd, Charlottesville, VA 22901 | 2012-02-28 |
1982977633 | Jea Catherine Brickwedde | Specialist | 716 Rio Rd W, Fa, Charlottesville, VA 22901 | 2012-02-10 |
Find all providers in zip 22901 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356552731 | Darlene Nicoletti | Dentist | 2214 Ivy Rd, Suite 106, Charlottesville, VA 22903-4965 | 2007-05-25 |
1730191792 | Donald Martin Spano | Dentist | 1200 Five Springs Road, Suite 101, Charlottesville, VA 22902 | 2006-08-11 |
1134285356 | David Ludwig Krese | Dentist | 1101 E Jefferson St, Charlottesville, VA 22902-5353 | 2006-12-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497361471 | Lisa A. Marvil, D.m.d., P.l.l.c. | Dentist | 17341-b Pickwick Drive, Purcellville, VA 20132 | 2020-09-16 |
1720624307 | Deena Hadithi Dmd, PC. | Dentist | 7210 Old Keene Mill Rd Ste 3, Springfield, VA 22150-3442 | 2019-11-19 |
1689223836 | Alka Panwar | Dentist | 4319 Dale Blvd Ste 6, Woodbridge, VA 22193-2401 | 2019-09-10 |
1801445135 | Neha Agarwal | Dentist | 23386 Epperson Sq, Brambleton, VA 20148-5794 | 2019-09-09 |
1164999181 | Smba Dentistry, Pllc | Dentist | 2801 Mcrae Rd Ste C1, North Chesterfield, VA 23235-3056 | 2018-10-29 |
1750860516 | Khashayar Kordbacheh Changi | Dentist | 3543 W Braddock Rd Ste E2, Alexandria, VA 22302-1903 | 2018-08-11 |
1205314309 | Shivangi B Amin | Dentist | 2420 Old Brick Rd Apt 1315, Glen Allen, VA 23060-5995 | 2018-07-31 |
1881107100 | New River Periodontics and Dental Implant Center, PC | Dentist | 2612 Sheffield Drive, Blacksburg, VA 24060 | 2017-11-08 |
1740793355 | Amy Ton Dds Pllc | Dentist | 11868 Sunrise Valley Dr Ste 100, Reston, VA 20191-3320 | 2017-11-06 |
1023539301 | Denver James Lyons | Dentist | 521 N 11th St # 980566, Richmond, VA 23298-5045 | 2017-06-27 |
Find all providers with the same taxonomy |
City | CHARLOTTESVILLE |
Zip Code | 22901 |
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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.