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EDWARD T KELLY IV DMD
NPI 1124315957
Dentist - General Practice in Hartford, CT

Active since June 30, 2011PECOS Enrolled
114 WOODLAND ST, HARTFORD, CT 06105(860) 714-4995(860) 714-8005 Get Directions Write a Review

NPPES record last updated: August 23, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edward T Kelly Iv Dmd NPPES

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

EDWARD T KELLY IV DMD (NPI 1124315957) is an individual general practice provider in Hartford, Connecticut, licensed in Connecticut (010536) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124315957
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameEDWARD T KELLY IVCredential: DMD
Location Address114 WOODLAND STHartford, CT 06105-1208
Mailing Address114 Woodland StHartford, CT 06105-1208 · (860) 714-4529 · Fax (860) 714-8003
Phone(860) 714-4995
Fax(860) 714-8005
Sole ProprietorNo
Enumeration DateJune 30, 2011
Last NPPES UpdateAugust 23, 2013
✔ NPI 1124315957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CT · 010536
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.
114 WOODLAND ST, Hartford, CT 06105
Open in Google Maps ↗

Other Identifiers 1

Medicaid004011201CT

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward T Kelly Iv Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

GAGANDEEP SINGH MD
Hospitalist
114 WOODLAND ST
HARTFORD, CT 06105
Capitol Planning Region (860) 714-7446
MRS. BROOKE M P CHAVES APRN
Nurse Practitioner (Family)
114 WOODLAND ST
HARTFORD, CT 06105
Capitol Planning Region (860) 714-4680
JOCELYN CALABRO APRN
Nurse Practitioner (Adult Health)
114 WOODLAND ST
HARTFORD, CT 06105
Capitol Planning Region (860) 714-4000
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER
Clinic/Center (Dental)
114 WOODLAND ST
HARTFORD, CT 06105
Capitol Planning Region (860) 714-4995
PHILLIP DENNEN MD
Anesthesiology
114 WOODLAND ST
HARTFORD, CT 06105
Capitol Planning Region (860) 714-6654
FRANK J SETTER MD
Anesthesiology
114 WOODLAND ST
HARTFORD, CT 06105
Capitol Planning Region (860) 714-6654
TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC
Internal Medicine
114 WOODLAND ST, SAINT FRANCIS MEDICAL GROUP INC.
HARTFORD, CT 06105
Capitol Planning Region (860) 714-1325
CATHERINE ANN CHAKAR-IYENGAR CRNA
Nurse Anesthetist, Certified Registered
114 WOODLAND ST, WOODLAND ANESTHESIOLOGY ASSOCIATES PC
HARTFORD, CT 06105
Capitol Planning Region (860) 614-6654

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 Edward Kelly's NPI number?

The NPI number for Edward Kelly is 1124315957. It was assigned to this individual provider in the NPPES registry on June 30, 2011.

Where is Edward Kelly located?

Edward Kelly practices at 114 Woodland St, Hartford, CT 06105. The listed phone number is (860) 714-4995.

What is Edward Kelly's specialty?

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

Is Edward Kelly enrolled in Medicare?

Yes. Edward Kelly is registered in the Medicare PECOS enrollment system.

What insurance does Edward Kelly accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Edward 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 Edward Kelly was last updated on August 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.