ROAH KELLY DMD
NPI 1033907423
Dentist - General Practice in Catoosa, OK

Active since April 28, 2025
2036 S MILLER LN STE B, CATOOSA, OK 74015(918) 937-7660 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roah Kelly Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROAH KELLY DMD (NPI 1033907423) is an individual general practice provider in Catoosa, Oklahoma, licensed in Oklahoma (8066) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1033907423
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameROAH KELLYCredential: DMD
Location Address2036 S MILLER LN STE BCatoosa, OK 74015-1539
Mailing Address16204 S 89th East AveBixby, OK 74008-4493 · (801) 884-2460
Sole ProprietorNo
Enumeration DateApril 28, 2025
NPPES CertifiedApril 27, 2025
NPI 1033907423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OK · 8066
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2036 S MILLER LN STE B, Catoosa, OK 74015

Accepted Insurance

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
2036 S MILLER LN STE B
CATOOSA, OK 74015
Dentist (General Practice)
2036 S MILLER LN STE B
CATOOSA, OK 74015
Dentist (General Practice)
2036 S MILLER LN STE B
CATOOSA, OK 74015
Dentist (General Practice)
2036 S MILLER LN STE B
CATOOSA, OK 74015
Dentist (General Practice)
2036 S MILLER LN STE B
CATOOSA, OK 74015
Dentist (General Practice)
2036 S MILLER LN STE B
CATOOSA, OK 74015
Dentist (General Practice)
2036 S MILLER LN STE B
CATOOSA, OK 74015
Dentist (General Practice)
2036 S MILLER LN STE B
CATOOSA, OK 74015

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roah Kelly's NPI number?

The NPI number for Roah Kelly is 1033907423. It was assigned to this individual provider in the NPPES registry on April 28, 2025.

Where is Roah Kelly located?

Roah Kelly practices at 2036 S Miller Ln Ste B, Catoosa, OK 74015. The listed phone number is (918) 937-7660.

What is Roah Kelly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Roah Kelly accept?

Health plans from BEST Life, Guardian, HRI Dental & Vision, Humana and Paramount and 1 other insurer list Roah Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roah Kelly was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.