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DR. KELLY J CHRISCO DMD
NPI 1104918945
Dentist - Pediatric Dentistry in Lexington, KY

Active since September 29, 2006
4384 CLEARWATER WAY STE 150, LEXINGTON, KY 40515(859) 317-6810 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2024, Jul 2, 2018 (2 updates tracked since 2018).

About Dr. Kelly J Chrisco Dmd NPPES

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

DR. KELLY J CHRISCO DMD (NPI 1104918945) is an individual pediatric dentistry provider in Lexington, Kentucky, licensed in Kentucky (8238) and active in the NPI registry since September 2006. She maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1104918945
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. KELLY J CHRISCOCredential: DMD
Location Address4384 CLEARWATER WAY STE 150Lexington, KY 40515
Mailing Address4384 Clearwater Way Ste 150, 150Lexington, KY 40515 · (859) 317-6810
Phone(859) 317-6810
Sole ProprietorNo
Enumeration DateSeptember 29, 2006
Last NPPES UpdateSeptember 18, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1104918945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in KY · 8238
Definition
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.
Also ListedDentist · Dental Public HealthTaxonomy 1223D0001X · License 8238 (KY)
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 8238 (KY)
4384 CLEARWATER WAY STE 150, Lexington, KY 40515
Open in Google Maps ↗

Secondary Practice Location 1

Location 1800 Rose StLexington, KY 40536-0297 · Phone (859) 323-6400

Other Identifiers 1

Medicaid7100006880KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES

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

IVAN HUYNH
Dentist (Pediatric Dentistry)
4384 CLEARWATER WAY STE 150
LEXINGTON, KY 40515
Fayette County (859) 317-6810

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 Kelly Chrisco's NPI number?

The NPI number for Kelly Chrisco is 1104918945. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Kelly Chrisco located?

Kelly Chrisco practices at 4384 Clearwater Way Ste 150, Lexington, KY 40515. The listed phone number is (859) 317-6810.

What is Kelly Chrisco's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Kelly Chrisco accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Kelly Chrisco 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 Kelly Chrisco was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.