1. Home
  2. Directory
  3. South Dakota
  4. Kyle
  5. Dentist
  6. NPI Profile

DR. KRISTOPHER JOHN KELLY DDS
NPI 1053354258
Dentist - General Practice in Kyle, SD

Active since June 14, 2006PECOS Enrolled
1000 HEALTH CENTER ROAD, KYLE, SD 57752(605) 455-8025(605) 455-1529 Get Directions Write a Review

NPPES record last updated: December 28, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Kristopher John Kelly Dds NPPES

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

DR. KRISTOPHER JOHN KELLY DDS (NPI 1053354258) is an individual general practice provider in Kyle, South Dakota, licensed in Iowa (6484) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053354258
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KRISTOPHER JOHN KELLYCredential: DDS
Location Address1000 HEALTH CENTER ROADKyle, SD 57752-0540
Mailing Address1000 Health Center RoadKyle, SD 57752-0540 · (605) 455-8025 · Fax (605) 455-1529
Phone(605) 455-8025
Fax(605) 455-1529
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateDecember 28, 2016
✔ NPI 1053354258 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 · 6484
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.
1000 HEALTH CENTER ROAD, Kyle, SD 57752
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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. Kristopher John Kelly Dds 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 57752 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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 20

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

DR. WILLIAM ROBERT WAGNER DRNP, LCSW
Nurse Practitioner (Adult Health)
1000 HEALTH CENTER ROAD, KYLE HEALTH CENTER / DHHS/IHS
KYLE, SD 57752
Oglala Lakota County (917) 626-9011
MS. KATHLEEN RAE THOMPSON R,N,
Registered Nurse
1000 HEALTH CENTER ROAD
KYLE, SD 57752
Oglala Lakota County (605) 455-2451
NIKKI BLACK BEAR LPC
Counselor (Professional)
1000 HEALTH CENTER ROAD
KYLE, SD 57752
Oglala Lakota County (605) 455-2451
JEANETTE AMIOTTE REGISTERED NURSE
Registered Nurse (Ambulatory Care)
1000 HEALTH CENTER ROAD
KYLE, SD 57752
Oglala Lakota County (605) 455-2451
MARGARET BRILL PHARMD
Pharmacist
1000 HEALTH CENTER ROAD
KYLE, SD 57752
Oglala Lakota County (605) 455-2451
CHARLOTTE REBECCA VASSAU RN
Registered Nurse
1000 HEALTH CENTER ROAD
KYLE, SD 57752
Oglala Lakota County (605) 455-8211
KARI R BLASIUS RDLNCDE
Dietitian, Registered (Nutrition, Metabolic)
1000 HEALTH CENTER ROAD
KYLE, SD 57752
Oglala Lakota County (605) 455-8236
KYLE HEALTH CENTER
Nursing Care
1000 HEALTH CENTER ROAD
KYLE, SD 57752
Oglala Lakota County (605) 455-2451

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 Kristopher Kelly's NPI number?

The NPI number for Kristopher Kelly is 1053354258. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Kristopher Kelly located?

Kristopher Kelly practices at 1000 Health Center Road, Kyle, SD 57752. The listed phone number is (605) 455-8025.

What is Kristopher Kelly's specialty?

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

Is Kristopher Kelly enrolled in Medicare?

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

What insurance does Kristopher Kelly accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Kristopher 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 Kristopher Kelly was last updated on December 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.