Timothy L Kelly Dental Prof. LLC
NPI 1710433123ActiveOrganization· Dentist· Rapid City, SD
Dentist in Rapid City, South Dakota, registered in NPPES in August 2016. The authorized official on file is Timothy Lynn Kelly, DDS, Owner.
Overview
| NPI | 1710433123 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 27, 2016 |
| Last updated in NPPES | Aug 27, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | D0505 | SD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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