W. DAVID KELLY, DMD
NPI 1033434659
Dentist - Oral and Maxillofacial Surgery in Worcester, MA

NPI Status: Active since April 07, 2010

Contact Information

59 QUINSIGAMOND AVE
WORCESTER, MA
ZIP 01610
Phone: (508) 799-2550
Fax: (508) 756-2923

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  • Organization
  • Dentist
  • Oral and Maxillofacial Surgery
  • Accepts Insurance

About W. DAVID KELLY, DMD

This page provides the complete NPI Profile along with additional information for W. David Kelly, Dmd, a provider established in Worcester, Massachusetts operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1033434659 assigned on April 2010. The practitioner's primary taxonomy code is 1223S0112X with license number 12222 (MA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as W. David Kelly, Dmd. The authorized official of this NPI record is Dr. W David Kelly Dmd (Sole Member)

NPI
1033434659
Provider Legal Name
CROMPTON PARK ORAL SURGERY AND IMPLANT ASSOCIATES, LLC
Other Organization Name
W. DAVID KELLY, DMD
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
59 QUINSIGAMOND AVE WORCESTER, MA 01610
Location Phone
(508) 799-2550
Location Fax
(508) 756-2923
Mailing Address
59 QUINSIGAMOND AVE WORCESTER, MA 01610
Mailing Phone
(508) 799-2550
Mailing Fax
(508) 756-2923
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-07-2010
Last Update Date
06-11-2010
Code Navigator

A dentist like W. David Kelly, Dmd is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
License No.
12222
License State
MA
Taxonomy Description
An oral and maxillofacial surgery dentist specialized in 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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/30%/9000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2500/30%/10000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/10000 - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/20%/8500 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. W DAVID KELLY DMD

Authorized Official Title
SOLE MEMBER
Authorized Official Phone
(508) 799-2550

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
110009711AMEDICAID (05)MA 
T57152MEDICARE UPIN (02)MA 

Reviews for W. DAVID KELLY, DMD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1033434659, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
3
Doubled → 6
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 4 → 8 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 6 + 3 + 8 + 3 + 8 + 6 + 1 + 0 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1033434659.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Dentist (Oral and Maxillofacial Surgery)
59 QUINSIGAMOND AVE
WORCESTER, MA 01610
Specialist
59 QUINSIGAMOND AVE
WORCESTER, MA 01610
Dentist (Oral and Maxillofacial Surgery)
59 QUINSIGAMOND AVE
WORCESTER, MA 01610
Orthopaedic Surgery
59 QUINSIGAMOND AVE, STE 200
WORCESTER, MA 01610
Physician Assistant (Surgical)
59 QUINSIGAMOND AVE, WORCESTER COUNTY ORTHOPEDICS
WORCESTER, MA 01610
Orthopaedic Surgery
59 QUINSIGAMOND AVE, WORCESTER COUNTY ORTHOPEDICS
WORCESTER, MA 01610
Specialist
59 QUINSIGAMOND AVE
WORCESTER, MA 01610
Dentist (Oral and Maxillofacial Surgery)
59 QUINSIGAMOND AVE
WORCESTER, MA 01610

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033434659, enumerated as an "organization" on April 07, 2010.

The provider is located at 59 QUINSIGAMOND AVE WORCESTER, MA 01610 and the phone number is (508) 799-2550.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.