DR. MICHAEL CHASE KELLY D.D.S.
NPI 1043659568
Dentist - General Practice in Springfield, MO

Q: What is Michael Kelly's NPI number?

The NPI number for Michael Kelly is 1043659568. It was assigned to this individual provider in the NPPES registry on June 18, 2013.

Q: What is Michael Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Kelly was last updated on June 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.

Active since June 18, 2013

1655 S ENTERPRISE AVE, A-3, SPRINGFIELD, MO 65804(417) 881-1213 Get Directions Write a Review

NPPES record last updated: June 18, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Michael Chase Kelly D.d.s. NPPES

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

DR. MICHAEL CHASE KELLY D.D.S. (NPI 1043659568) is an individual general practice provider in Springfield, Missouri, licensed in Missouri (2013017374) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1043659568

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MICHAEL CHASE KELLYCredential: D.D.S.

Location Address1655 S ENTERPRISE AVE, A-3Springfield, MO 65804-1850

Mailing Address1655 S Enterprise Ave, A-3Springfield, MO 65804-1850 · (417) 881-1213

Phone(417) 881-1213

Sole ProprietorYes

Enumeration DateJune 18, 2013

✔ NPI 1043659568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MO · 2013017374

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.

1655 S ENTERPRISE AVE, Springfield, MO 65804

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Other Providers at the Same Location NPPES

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

DR. ELZIE IRVIN MILLER III DDS

Dentist (General Practice)

1655 S ENTERPRISE AVE, A-3
SPRINGFIELD, MO 65804

Greene County (417) 881-1213

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 Michael Kelly's NPI number?

The NPI number for Michael Kelly is 1043659568. It was assigned to this individual provider in the NPPES registry on June 18, 2013.

Where is Michael Kelly located?

Michael Kelly practices at 1655 S Enterprise Ave A-3, Springfield, MO 65804. The listed phone number is (417) 881-1213.

What is Michael Kelly's specialty?

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

When was this NPI record last updated?

The NPPES record for Michael Kelly was last updated on June 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.