DR. KELLY MICHAEL HUSTON D.D.S.
NPI 1003171497
Dentist - General Practice in Ottumwa, IA

Active since July 11, 2012Opted out of Medicare · through Dec 29, 2027
415 E MAIN ST, OTTUMWA, IA 52501(641) 684-0215 Get Directions Write a Review

NPPES record last updated: July 11, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kelly Michael Huston D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY MICHAEL HUSTON D.D.S. (NPI 1003171497) is an individual general practice provider in Ottumwa, Iowa, licensed in Iowa (08922) and active in the NPI registry since July 2012. He has opted out of Medicare through December 29, 2027.

NPPES Registry Identity

NPI1003171497
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KELLY MICHAEL HUSTONCredential: D.D.S.
Location Address415 E MAIN STOttumwa, IA 52501-3027
Mailing Address322 E Park Ave Apt 2Ottumwa, IA 52501-2069 · (319) 610-3505
Sole ProprietorNo
Enumeration DateJuly 11, 2012
NPI 1003171497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IA · 08922
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
415 E MAIN ST, Ottumwa, IA 52501

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Kelly Michael Huston D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 29, 2021 through December 29, 2027.

Opt-Out Effective DateDecember 29, 2021
Opt-Out In Effect ThroughDecember 29, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
415 E MAIN ST
OTTUMWA, IA 52501
Dentist (General Practice)
415 E MAIN ST
OTTUMWA, IA 52501
Dentist (General Practice)
415 E MAIN ST
OTTUMWA, IA 52501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Huston's NPI number?

The NPI number for Kelly Huston is 1003171497. It was assigned to this individual provider in the NPPES registry on July 11, 2012.

Where is Kelly Huston located?

Kelly Huston practices at 415 E Main St, Ottumwa, IA 52501. The listed phone number is (641) 684-0215.

What is Kelly Huston's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kelly Huston enrolled in Medicare?

No. Kelly Huston has opted out of Medicare through December 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kelly Huston accept?

Health plans from Delta Dental of Iowa and Humana list Kelly Huston as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Huston was last updated on July 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.