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John Kelly, DDS
NPI 1861615569 · Pediatric Dentistry · Port Matilda, PA
John Kelly, DDS is a Pediatric Dentistry provider in Port Matilda, PA (NPI 1861615569).
Provider details
- NPI number
- 1861615569
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DS-019843-L (PA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1019 Ghaner Rd Ste a
Port Matilda, PA 16870-7201
Phone: (814) 238-7120
Fax: (814) 238-2981
Street-level locationGet directions
Mailing address
1019 Ghaner Rd Ste a
Port Matilda, PA 16870-7201
Registry dates
- Enumerated
- 2007-04-11
- Last updated
- 2014-06-16
Frequently asked questions
- What is John Kelly's NPI number?
- John Kelly's National Provider Identifier (NPI) is 1861615569, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Kelly's specialty?
- John Kelly is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is John Kelly located?
- John Kelly's practice location on file with NPPES is 1019 Ghaner Rd Ste a, Port Matilda, PA 16870-7201.
- What is John Kelly's phone number?
- The practice phone number listed in the NPPES registry for John Kelly is (814) 238-7120.
- Is John Kelly's NPI active?
- Yes — John Kelly's NPI (1861615569) is active in the NPPES registry as of the last update on 2014-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.