Dr David Randolph Kelly, DDS - Dentist in Bristol, VA

Dr David Randolph Kelly, DDS is a Dentist - General Practice based in Bristol, Virginia. Dr David Randolph Kelly is licensed to practice in Virginia (license number 0401006167) and his current practice location is 1941 Euclid Ave, Bristol, Virginia. He can be reached at his office (for appointments etc.) via phone at (276) 669-0112.

NPI number for Dr David Randolph Kelly is 1124048491 and his current mailing address is 1941 Euclid Ave, Bristol, Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124048491.

Contact Information

Dr David Randolph Kelly, DDS
1941 Euclid Ave,
Bristol, VA 24201-3607
(276) 669-0112
(276) 669-6922

Map and Direction




Healthcare Provider's Profile

Full NameDr David Randolph Kelly
GenderMale
SpecialityDentist - General Practice
Location1941 Euclid Ave, Bristol, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124048491
  • Provider Enumeration Date: 07/20/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr David Randolph Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124048491NPI-NPPES
021225OtherANTHEM
0064919OtherTNBCBS
9178719MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 0401006167 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr David Randolph Kelly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr David Randolph Kelly, DDS
1941 Euclid Ave,
Bristol, VA 24201-3607

Ph: (276) 669-0112
Dr David Randolph Kelly, DDS
1941 Euclid Ave,
Bristol, VA 24201-3607

Ph: (276) 669-0112

Reviews and Comments


Dentist in Bristol, VA

Dr. Roy S Shelburne, DDS
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Dr. Ronald Dean Jessup, D.M.D.
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Dr. Lee F Lykins Iii, D.D.S.
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Phone: 276-669-1370    Fax: 276-669-6348
Joseph Scott Finelli, DDS
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Scott Randolph Miller, D.D.S.
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Medicare: Not Enrolled in Medicare
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Phone: 276-466-9800    Fax: 276-591-5959

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.