OrganizationActive
Shawn Kelly DDS Inc
NPI 1912441064 · Customized Equipment (DME) · Roseville, CA
Shawn Kelly DDS Inc is a Customized Equipment (DME) organization in Roseville, CA (NPI 1912441064).
Provider details
- NPI number
- 1912441064
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Randall Kelly, Owner(916) 773-1122
- License
- 29984 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
700 Sunrise Ave
Suite E
Roseville, CA 95661-4561
Phone: (916) 773-1122
Fax: (916) 773-3528
Street-level locationGet directions
Mailing address
700 Sunrise Ave
Roseville, CA 95661-4561
Other names (DBA / former)
- Other name
- Roseville Dental Group Sleep Solutions
Registry dates
- Enumerated
- 2016-12-08
- Last updated
- 2017-04-05
Frequently asked questions
- What is Shawn Kelly DDS Inc's NPI number?
- Shawn Kelly DDS Inc's National Provider Identifier (NPI) is 1912441064, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shawn Kelly DDS Inc?
- Shawn Kelly DDS Inc is classified in the NPPES registry as Customized Equipment (DME) (Suppliers).
- Where is Shawn Kelly DDS Inc located?
- Shawn Kelly DDS Inc's practice location on file with NPPES is 700 Sunrise Ave, Roseville, CA 95661-4561.
- What is Shawn Kelly DDS Inc's phone number?
- The practice phone number listed in the NPPES registry for Shawn Kelly DDS Inc is (916) 773-1122.
- Who is the authorized official for Shawn Kelly DDS Inc?
- The authorized official listed on Shawn Kelly DDS Inc's NPPES record is Randall Kelly, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shawn Kelly DDS Inc's NPI active?
- Yes — Shawn Kelly DDS Inc's NPI (1912441064) is active in the NPPES registry as of the last update on 2017-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.