Stephanie Kelley · Dentist

22375 Dominguez Dr, Porter, TX 77365-7146

Overview

Stephanie Kelley is a Dentist practicing in Amarillo, Texas. The National Provider Identifier (NPI) is #1265312649, which was assigned on September 5, 2025, and the registration record was last updated on September 5, 2025. The practitioner's main practice location is at 7200 Sw 45th Ave Unit 5, Amarillo, TX 79109-5084; the contact telephone number is 8066770202. The primary taxonomy of Stephanie Kelley is Dentist (122300000X). Stephanie Kelley is licensed to practice in the state of Texas (#41967).

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Provider Information

NPI 1265312649
Entity Type Individual
Provider Name STEPHANIE KELLEY
Gender Female
Credential DDS
Practice Address 7200 Sw 45th Ave Unit 5
Amarillo
TX 79109-5084
Practice Telephone 8066770202
Mailing Address 22375 Dominguez Dr
Porter
TX 77365-7146
Certification Date 2025-09-05
Enumeration Date 2025-09-05
Last Update Date 2025-09-05
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y122300000XDentist41967TX

Providers with the same name

Provider NameAddressTaxonomyEnumeration Date
Stephanie Kelley 4433 S 70th St, Suite 200, Lincoln, NE 68516-4275Adult Companion2025-03-13

Taxonomy Information

Primary Taxonomy

Code 122300000X
Taxonomy Dentist
Classification Dentist
Grouping Dental Providers
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Lilian Huyen Kim 6525 N Decatur Blvd Ste 150, Las Vegas, NV 89131-2993Dentist2025-09-05
Fuller Smiles PLLC 215 5th Ave, Brooklyn, NY 11215-2042Dentist2025-09-05
Eliana Yaena Kim 20300 W Valley Blvd Ste A, Tehachapi, CA 93561-8609Dentist2025-09-05
Genna Gelfand 4710 Great Northern Blvd, North Olmsted, OH 44070-3427Dentist2025-09-03
Lara Elijah 10275 Agate Ave, Mentone, CA 92359-1378Dentist2025-09-03
Ruhullah Muhtat 250 E Colfax Ave, Bennett, CO 80102-8825Dentist2025-09-05
Jacob R Moss 43 Bridge St Ste 6, Pelham, NH 03076-3400Dentist2025-09-05
Sithara Somasekharan Nair 401 Kenilworth Dr Ste 960, Petaluma, CA 94952-3406Dentist2025-09-03
Caleb William Vantol 9900 Lincoln St, 2nd Floor, Tacoma, WA 98431-0001Dentist2025-09-04
Lucent 410 Sa PLLC 834 Nw Loop 410 Ste 110, San Antonio, TX 78216-5604Dentist2025-09-03
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Location Information

Street Address 22375 DOMINGUEZ DR
City PORTER
State TX
Zip Code 77365-7146
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Reliant Rides, LLC 23695 Elmwood Dr, Porter, TX 77365-5101Non-emergency Medical Transport (VAN)2025-06-09
Emily Elizabeth Mcshane 20345 River Ridge Dr, Porter, TX 77365-6914Physical Therapist2025-05-21
Quincy Madunezim 24917 Fm 1314 Rd, Porter, TX 77365-4982Pharmacist2024-12-14
Jenna Binford 21619 Royal Melbourne Ct, Porter, TX 77365-6571Counselor2025-01-21
Kassie Thurman 23481 Joseph Dr, Porter, TX 77365-6041Mental Health Counselor2025-08-29
Wal-Mart Stores Texas LLC 23561 Highway 59, Porter, TX 77365-4991Durable Medical Equipment & Medical Supplies2006-07-18
Jennifer Corso · Jennifer Fisher 21559 Lexor Ct, Porter, TX 77365-5959Behavioral Analyst2025-07-16
Embrace Infant Care 25250 Azel Shore Ct, Porter, TX 77365-1599Durable Medical Equipment & Medical Supplies2025-06-26
Safe Star Transport 19071 Painted Blvd, Porter, TX 77365-4687Secured Medical Transport (VAN)2025-06-03
The Community Integration Project 6005 Windward Falls Way, Porter, TX 77365-1899Counselor2025-04-09
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.