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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. THOMAS VINCENT KELLY JR. DDS
NPI 1275536914
Dentist - General Practice in Raleigh, NC

Active since May 26, 2005PECOS Enrolled
9317 LEESVILLE RD, RALEIGH, NC 27613(919) 848-1343(919) 848-9418 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Thomas Vincent Kelly Jr. Dds NPPES

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

DR. THOMAS VINCENT KELLY JR. DDS (NPI 1275536914) is an individual general practice provider in Raleigh, North Carolina, licensed in North Carolina (4720) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275536914
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. THOMAS VINCENT KELLY JR.Credential: DDS
Location Address9317 LEESVILLE RDRaleigh, NC 27613-7515
Mailing Address9317 Leesville RdRaleigh, NC 27613-7515 · (919) 848-1343 · Fax (919) 848-9418
Phone(919) 848-1343
Fax(919) 848-9418
Sole ProprietorNo
Enumeration DateMay 26, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1275536914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 4720
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.
9317 LEESVILLE RD, Raleigh, NC 27613
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas Vincent Kelly Jr. Dds 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 27613 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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

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

DR. ERIC S CAMPBELL DDS, MDS
Dentist (Orthodontics and Dentofacial Orthopedics)
9317 LEESVILLE RD, SUITE 105
RALEIGH, NC 27613
Wake County (919) 870-8298

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 Thomas Kelly's NPI number?

The NPI number for Thomas Kelly is 1275536914. It was assigned to this individual provider in the NPPES registry on May 26, 2005.

Where is Thomas Kelly located?

Thomas Kelly practices at 9317 Leesville Rd, Raleigh, NC 27613. The listed phone number is (919) 848-1343.

What is Thomas Kelly's specialty?

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

Is Thomas Kelly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Thomas Kelly was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.