1. Home
  2. Directory
  3. Virginia
  4. Bristol
  5. Dentist
  6. NPI Profile

DR. DAVID RANDOLPH KELLY DDS
NPI 1124048491
Dentist - General Practice in Bristol, VA

Active since July 20, 2006
1941 EUCLID AVE, BRISTOL, VA 24201(276) 669-0112(276) 669-6922 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David Randolph Kelly Dds NPPES

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

DR. DAVID RANDOLPH KELLY DDS (NPI 1124048491) is an individual general practice provider in Bristol, Virginia, licensed in Virginia (0401006167) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1124048491
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DAVID RANDOLPH KELLYCredential: DDS
Location Address1941 EUCLID AVEBristol, VA 24201-3607
Mailing Address1941 Euclid AveBristol, VA 24201-3607 · (276) 669-0112 · Fax (276) 669-6922
Phone(276) 669-0112
Fax(276) 669-6922
Sole ProprietorYes
Enumeration DateJuly 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1124048491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in VA · 0401006167
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.
1941 EUCLID AVE, Bristol, VA 24201
Open in Google Maps ↗

Other Identifiers 3

Medicaid9178719VA
Other0064919TN · Bcbs
Other021225Anthem

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.

JUST FOR GRINS, PC
Dentist (General Practice)
1941 EUCLID AVE
BRISTOL, VA 24201
Bristol City (276) 494-0508

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 David Kelly's NPI number?

The NPI number for David Kelly is 1124048491. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is David Kelly located?

David Kelly practices at 1941 Euclid Ave, Bristol, VA 24201. The listed phone number is (276) 669-0112.

What is David Kelly's specialty?

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

What insurance does David Kelly 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 4 other insurers list David 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 David Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.