DR. THOMAS HUDSON KELLEY (NPI# 1578609673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578609673 |
Entity Type | Individual |
Full Name | DR. THOMAS HUDSON KELLEY |
Credential | D.D.S. |
Practice Address |
600 N Mountain Ave A204 Upland CA 91786-4359 |
Practice Telephone | 9099464477 |
Practice Fax Number | 9099815586 |
Mailing Telephone | 9099464477 |
Mailing Fax Number | 9099815586 |
Enumeration Date | 2007-01-29 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
25558 | CA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790037794 | Thomas Leo Kelley | Marriage & Family Therapist | 2947 Thinnes St, Cross Plains, WI 53528-9540 | 2012-10-15 |
1659534881 | Thomas Joseph Kelley | Psychiatry & Neurology | 5139 Washington St, Butte Des Morts, WI 54927-9327 | 2008-07-08 |
1770572828 | Thomas Christopher Kelley | Dentist | 150 S Calhoun Rd, Brookfield, WI 53005-6303 | 2005-10-20 |
1306833082 | Thomas Reynolds Kelley | Family Medicine | 931 N Sr 434 Ste 1275, Altamonte Springs, FL 32714-7057 | 2005-09-29 |
1639770795 | Thomas David Kelley | Pharmacist | 990 W Emmitt Ave, Waverly, OH 45690-1095 | 2020-11-05 |
1154736437 | Thomas Kelley | Student in an Organized Health Care Education/Training Program | 300 East Hospital Road, General Surgery Ddeamc, Augusta, GA 30905 | 2014-06-25 |
1417246265 | Thomas Kelley | Registered Nurse | 780 Albany St, Boston, MA 02118-2524 | 2011-04-01 |
1831496025 | Thomas E Kelley | Pharmacist | 2539 W Whitner St, Anderson, SC 29624-1146 | 2011-02-24 |
1831494541 | Thomas M Kelley | Registered Nurse | 2868 Acton Road, Birmingham, AL 35243 | 2011-01-12 |
1467585299 | Thomas Eugene Kelley IIi | Marriage & Family Therapist | 2507 Christie Drive, Lake Oswego, OR 98034 | 2007-03-13 |
Street Address |
600 N MOUNTAIN AVE A204 |
City | UPLAND |
State | CA |
Zip Code | 91786-4359 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386648715 | Sunil Kumar Saini | Specialist | 600 N Mountain Ave, Ste B100, Upland, CA 91786-4359 | 2005-06-13 |
1982142170 | Emerald Gardens Hospice, Inc. | Hospice Care, Community Based | 600 N Mountain Ave, C206, Upland, CA 91786-4359 | 2017-02-07 |
1679011472 | Guillermo S, Castillo Dds Dental Corporation | Dentist | 600 N Mountain Ave, Suite C-105, Upland, CA 91786-4359 | 2017-02-01 |
1780081141 | Wellfleet Family Medical Inc A Medical Corporation | Nurse Practitioner | 600 N Mountain Ave, Suite A-100, Upland, CA 91786-4359 | 2014-12-01 |
1699109306 | Advantage Hospice Providers Inc | Hospice Care, Community Based | 600 N Mountain Ave, Ste B201, Upland, CA 91786-4359 | 2013-08-29 |
1205115425 | Kay Marie Crawford | Nurse Practitioner | 600 N Mountain Ave, Suite A-104, Upland, CA 91786-4359 | 2011-08-04 |
1225343320 | Daniel B. Channell, M.d., Inc. | Clinic/Center | 600 N Mountain Ave, Suite C102, Upland, CA 91786-4359 | 2010-08-12 |
1629220629 | Karen S Allgaier | Nurse Practitioner | 600 N Mountain Ave, B-100, Upland, CA 91786-4359 | 2008-10-21 |
1336303494 | Rudy Quintero, Md Inc. | Obstetrics & Gynecology | 600 N Mountain Ave, Suite A202, Upland, CA 91786-4359 | 2008-07-17 |
1740443621 | Angela Barrios-lucero | Marriage & Family Therapist | 600 N Mountain Ave, Ste B 106, Upland, CA 91786 | 2008-07-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
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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 |
---|---|---|---|---|
1255431342 | Steve Chu | Dentist | 600 N Euclid Ave, Suite 101, Upland, CA 91786-4766 | 2006-09-25 |
1932356029 | Angela Min-hwa Chow, D.d.s., M.p.h. Inc | Dentist | 795 N Mountain Ave, Upland, CA 91786-4341 | 2008-08-20 |
1225201775 | Angela Min-hwa Chow | Dentist | 795 N Mountain Ave, Upland, CA 91786 | 2008-04-04 |
1467599027 | Steve Chu, D.d.s., Inc. | Dentist | 600 N Euclid Ave, Suite 101, Upland, CA 91786-4766 | 2007-01-31 |
1699820548 | James Chi-hsin Huang | Dentist | 1273 W 7th St, Upland, CA 91786-7069 | 2007-01-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790385227 | Johnson Ann Wong Dental Corporation | Dentist | 6512 N Figueroa St Ste 3, Los Angeles, CA 90042-2155 | 2020-10-26 |
1205440211 | Jessica Choi, Dmd, Dental Corporation | Dentist | 2318 Huntington Dr, San Marino, CA 91108-2641 | 2020-09-08 |
1659985802 | Rw Fattouch Dmd, Inc. | Dentist | 42210 Lyndie Ln Ste 100, Temecula, CA 92591-3604 | 2020-09-04 |
1174136998 | Armand Begian Dds Inc. | Dentist | 4021 Mission Oaks Blvd # 180, Camarillo, CA 93012-5156 | 2020-08-31 |
1164035473 | Armand Begian Dds Inc. | Dentist | 3687 Las Posas Rd Ste 180, Camarillo, CA 93010-1431 | 2020-08-26 |
1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
1396360384 | Drs Salem and Soliman Dental Corp | Dentist | 2119 E Hatch Rd Ste Bandc, Modesto, CA 95351-4814 | 2020-06-15 |
1689299471 | Abhishek Batra | Dentist | 11052 Evans St, Loma Linda, CA 92354-2709 | 2020-06-08 |
1194348060 | Bryan Chao | Dentist | 1895 Mowry Ave Ste 121, Fremont, CA 94538-1736 | 2020-05-26 |
1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
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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.