OrganizationActive
Jacob D Kelly DDS, Inc.
NPI 1447821319 · Dental Clinic/Center · Roseville, CA
Jacob D Kelly DDS, Inc. is a Dental Clinic/Center organization in Roseville, CA (NPI 1447821319).
Provider details
- NPI number
- 1447821319
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jacob Kelly, Owner Dentist(916) 782-9479
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2360 Professional Dr Ste 100
Roseville, CA 95661-7782
Phone: (916) 782-9479
Fax: (916) 782-3342
Street-level locationGet directions
Mailing address
2360 Professional Dr Ste 100
Roseville, CA 95661-7782
Registry dates
- Enumerated
- 2021-07-01
- Last updated
- 2021-07-01
- Certified
- 2021-07-01
Frequently asked questions
- What is Jacob D Kelly DDS, Inc.'s NPI number?
- Jacob D Kelly DDS, Inc.'s National Provider Identifier (NPI) is 1447821319, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacob D Kelly DDS, Inc.?
- Jacob D Kelly DDS, Inc. is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jacob D Kelly DDS, Inc. located?
- Jacob D Kelly DDS, Inc.'s practice location on file with NPPES is 2360 Professional Dr Ste 100, Roseville, CA 95661-7782.
- What is Jacob D Kelly DDS, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Jacob D Kelly DDS, Inc. is (916) 782-9479.
- Who is the authorized official for Jacob D Kelly DDS, Inc.?
- The authorized official listed on Jacob D Kelly DDS, Inc.'s NPPES record is Jacob Kelly, Owner Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacob D Kelly DDS, Inc.'s NPI active?
- Yes — Jacob D Kelly DDS, Inc.'s NPI (1447821319) is active in the NPPES registry as of the last update on 2021-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.