DR. KELLY GREENLEE DDS
NPI 1114339660
Dentist in Oklahoma City, OK

Q: What is Kelly Greenlee's NPI number?

The NPI number for Kelly Greenlee is 1114339660. It was assigned to this individual provider in the NPPES registry on June 2, 2014.

Q: What is Kelly Greenlee's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is Kelly Greenlee enrolled in Medicare?

No. Kelly Greenlee has opted out of Medicare through March 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kelly Greenlee was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 02, 2014Opted out of Medicare · through Mar 13, 2028

1908 S POST RD BLDG 1, OKLAHOMA CITY, OK 73130(405) 732-2230 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Kelly Greenlee Dds NPPES

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

DR. KELLY GREENLEE DDS (NPI 1114339660) is an individual dentist in Oklahoma City, Oklahoma, licensed in Oklahoma (6588) and active in the NPI registry since June 2014. She has opted out of Medicare through March 13, 2028.

NPPES Registry Identity

NPI1114339660

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. KELLY GREENLEECredential: DDS

Location Address1908 S POST RD BLDG 1Oklahoma City, OK 73130-6600

Mailing Address12500 Horsepen RdOklahoma City, OK 73173-8854 · (405) 503-1416

Phone(405) 732-2230

Sole ProprietorNo

Enumeration DateJune 2, 2014

Last NPPES UpdateMarch 28, 2022

NPPES CertifiedMarch 28, 2022

✔ NPI 1114339660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OK · 6588

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1908 S POST RD BLDG 1, Oklahoma City, OK 73130

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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

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Opted out of Medicare

Dr. Kelly Greenlee Dds 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 March 13, 2020 through March 13, 2028.

Opt-Out Effective DateMarch 13, 2020

Opt-Out In Effect ThroughMarch 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Greenlee's NPI number?

The NPI number for Kelly Greenlee is 1114339660. It was assigned to this individual provider in the NPPES registry on June 2, 2014.

Where is Kelly Greenlee located?

Kelly Greenlee practices at 1908 S Post Rd Bldg 1, Oklahoma City, OK 73130. The listed phone number is (405) 732-2230.

What is Kelly Greenlee's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kelly Greenlee enrolled in Medicare?

No. Kelly Greenlee has opted out of Medicare through March 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kelly Greenlee accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kelly Greenlee 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 Greenlee was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.