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KELSEA KELLUMEN DDS
NPI 1174262471
Dentist in Texas City, TX

Active since June 03, 2022PECOS Enrolled
1708 N AMBURN RD STE A, TEXAS CITY, TX 77591(409) 935-2111 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelsea Kellumen Dds NPPES

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

KELSEA KELLUMEN DDS (NPI 1174262471) is an individual dentist in Texas City, Texas, licensed in Texas (39330) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174262471
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameKELSEA KELLUMENCredential: DDS
Location Address1708 N AMBURN RD STE ATexas City, TX 77591-2489
Mailing Address1708 N Amburn Rd Ste ATexas City, TX 77591-2489
Phone(409) 935-2111
Sole ProprietorNo
Enumeration DateJune 3, 2022
Last NPPES UpdateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
✔ NPI 1174262471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TX · 39330
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.
1708 N AMBURN RD STE A, Texas City, TX 77591
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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)

Kelsea Kellumen 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 77591 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
$88.24 typical visit price
range $57.19 – $173.07
Typical copayment $22.06 (range $14.29 – $43.26)
Most-billed visit code 99203
Established Patient
$71.32 typical visit price
range $18.45 – $141.36
Typical copayment $17.83 (range $4.61 – $35.34)
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 2

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

DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Dentist (General Practice)
1708 N AMBURN RD STE A
TEXAS CITY, TX 77591
Galveston County (832) 769-4115
DR. SNEHA MAHAVADI DDS
Dentist (General Practice)
1708 N AMBURN RD STE A
TEXAS CITY, TX 77591
Galveston County (409) 935-2111

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 Kelsea Kellumen's NPI number?

The NPI number for Kelsea Kellumen is 1174262471. It was assigned to this individual provider in the NPPES registry on June 3, 2022.

Where is Kelsea Kellumen located?

Kelsea Kellumen practices at 1708 N Amburn Rd Ste A, Texas City, TX 77591. The listed phone number is (409) 935-2111.

What is Kelsea Kellumen's specialty?

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

Is Kelsea Kellumen enrolled in Medicare?

Yes. Kelsea Kellumen is registered in the Medicare PECOS enrollment system.

What insurance does Kelsea Kellumen accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 14 other insurers list Kelsea Kellumen 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 Kelsea Kellumen was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.