DR. TRACY LYNN KELSEY D.M.D.
NPI 1134784242
Dentist - General Practice in Goshen, IN

Active since May 03, 2019
1802 CHARLTON CT, GOSHEN, IN 46526(574) 533-5925 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 7, 2020, May 3, 2019 (2 updates tracked since 2019).

About Dr. Tracy Lynn Kelsey D.m.d. NPPES

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

DR. TRACY LYNN KELSEY D.M.D. (NPI 1134784242) is an individual general practice provider in Goshen, Indiana, licensed in Indiana (12013468A) and active in the NPI registry since May 2019. She maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1134784242
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TRACY LYNN KELSEYCredential: D.M.D.
Location Address1802 CHARLTON CTGoshen, IN 46526-6463
Mailing Address235 Ironworks Ave Apt 264Mishawaka, IN 46544-2070 · (574) 226-5700
Sole ProprietorNo
Enumeration DateMay 3, 2019
Last NPPES UpdateOctober 7, 20202 updates tracked since enumeration
NPPES CertifiedOctober 6, 2020
✔ NPI 1134784242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 12013468A
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.
1802 CHARLTON CT, Goshen, IN 46526

Secondary Practice Location 1

Location 11340 Boylston StBoston, MA 02215-4302 · Phone (617) 267-0900

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
1802 CHARLTON CT
GOSHEN, IN 46526
Clinic/Center (Dental)
1802 CHARLTON CT
GOSHEN, IN 46526

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 Tracy Kelsey's NPI number?

The NPI number for Tracy Kelsey is 1134784242. It was assigned to this individual provider in the NPPES registry on May 3, 2019.

Where is Tracy Kelsey located?

Tracy Kelsey practices at 1802 Charlton Ct, Goshen, IN 46526. The listed phone number is (574) 533-5925.

What is Tracy Kelsey's specialty?

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

What insurance does Tracy Kelsey accept?

Health plans from Humana list Tracy Kelsey 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 Tracy Kelsey was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.