DR. KELLY LYNN HARRIS D.M.D.
NPI 1104022276
Dentist - General Practice in Venice, FL

Active since June 25, 2007PECOS Enrolled
700 NOKOMIS AVE S, VENICE, FL 34285(941) 484-3551 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kelly Lynn Harris D.m.d. NPPES

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

DR. KELLY LYNN HARRIS D.M.D. (NPI 1104022276) is an individual general practice provider in Venice, Florida, licensed in Florida (17918) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104022276
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KELLY LYNN HARRISCredential: D.M.D.
Location Address700 NOKOMIS AVE SVenice, FL 34285-3419
Mailing Address700 Nokomis Ave SVenice, FL 34285-3419 · (941) 484-3551
Sole ProprietorYes
Enumeration DateJune 25, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1104022276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in FL · 17918
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.
700 NOKOMIS AVE S, Venice, FL 34285

Accepted 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. Kelly Lynn Harris 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 34285 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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

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

Dentist (General Practice)
700 NOKOMIS AVE S
VENICE, FL 34285

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 Harris's NPI number?

The NPI number for Kelly Harris is 1104022276. It was assigned to this individual provider in the NPPES registry on June 25, 2007.

Where is Kelly Harris located?

Kelly Harris practices at 700 Nokomis Ave S, Venice, FL 34285. The listed phone number is (941) 484-3551.

What is Kelly Harris's specialty?

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

Is Kelly Harris enrolled in Medicare?

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

What insurance does Kelly Harris accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 12 other insurers list Kelly Harris 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 Harris was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.