KIM-SA KELLY DDS
NPI 1396692596
Dentist - Orthodontics and Dentofacial Orthopedics in Los Angeles, CA

Active since March 16, 2026
2121 MALCOLM AVE, LOS ANGELES, CA 90025(714) 369-9426 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kim-sa Kelly Dds NPPES

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

KIM-SA KELLY DDS (NPI 1396692596) is an individual orthodontics and dentofacial orthopedics provider in Los Angeles, California, licensed in California (112367) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1396692596
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameKIM-SA KELLYCredential: DDS
Location Address2121 MALCOLM AVELos Angeles, CA 90025-6305
Mailing Address2121 Malcolm AveLos Angeles, CA 90025-6305 · (714) 369-9426
Sole ProprietorNo
Enumeration DateMarch 16, 2026
NPPES CertifiedMarch 16, 2026
NPI 1396692596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in CA · 112367
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
2121 MALCOLM AVE, Los Angeles, CA 90025

Other Providers at the Same Location NPPES 2

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

Orthopaedic Surgery
2121 MALCOLM AVE
LOS ANGELES, CA 90025
Orthopaedic Surgery
2121 MALCOLM AVE
LOS ANGELES, CA 90025

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 Kim-sa Kelly's NPI number?

The NPI number for Kim-sa Kelly is 1396692596. It was assigned to this individual provider in the NPPES registry on March 16, 2026.

Where is Kim-sa Kelly located?

Kim-sa Kelly practices at 2121 Malcolm Ave, Los Angeles, CA 90025. The listed phone number is (714) 369-9426.

What is Kim-sa Kelly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Kim-sa Kelly was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.