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DR. SHAWN PATRICK KELLY D.M.D.
NPI 1013082189
Dentist - General Practice in Somerdale, NJ

Active since November 22, 2006PECOS Enrolled
13 SOMERDALE SQ, SOMERDALE, NJ 08083(856) 566-6969(856) 566-6012 Get Directions Write a Review

NPPES record last updated: May 29, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shawn Patrick Kelly D.m.d. NPPES

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

DR. SHAWN PATRICK KELLY D.M.D. (NPI 1013082189) is an individual general practice provider in Somerdale, New Jersey, licensed in New Jersey (22DI02260700) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013082189
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SHAWN PATRICK KELLYCredential: D.M.D.
Location Address13 SOMERDALE SQSomerdale, NJ 08083-1345
Mailing Address182 White Cedar DrSicklerville, NJ 08081-3409 · (609) 707-1032
Phone(856) 566-6969
Fax(856) 566-6012
Sole ProprietorNo
Enumeration DateNovember 22, 2006
Last NPPES UpdateMay 29, 2013
✔ NPI 1013082189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NJ · 22DI02260700
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.
13 SOMERDALE SQ, Somerdale, NJ 08083
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shawn Patrick Kelly D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08083 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

DR. MICHAEL STEVEN CAPPUCCILLI D.D.S.
Dentist (Dental Public Health)
13 SOMERDALE SQ
SOMERDALE, NJ 08083
Camden County (856) 566-6016
DR. SUNITA MENON DMD
Dentist (General Practice)
13 SOMERDALE SQ
SOMERDALE, NJ 08083
Camden County (856) 566-6969
RUTGERS SCHOOL OF DENTAL MEDICINE
Clinic/Center (Dental)
13 SOMERDALE SQ
SOMERDALE, NJ 08083
Camden County (856) 566-6969
DR. KENSON EMANUEL NOEL D.M.D.
Dentist (General Practice)
13 SOMERDALE SQ, UMDNJ-UNIVERSITY DENTAL CENTER-SOMERDALE
SOMERDALE, NJ 08083
Camden County (856) 566-6969

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 Shawn Kelly's NPI number?

The NPI number for Shawn Kelly is 1013082189. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Shawn Kelly located?

Shawn Kelly practices at 13 Somerdale Sq, Somerdale, NJ 08083. The listed phone number is (856) 566-6969.

What is Shawn Kelly's specialty?

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

Is Shawn Kelly enrolled in Medicare?

Yes. Shawn Kelly is registered in the Medicare PECOS enrollment system.

What insurance does Shawn Kelly accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Shawn Kelly 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 Shawn Kelly was last updated on May 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.