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DR. KELLY ELIZABETH ELLEN YEUNG DDS
NPI 1255528311
Dentist in Portage, MI

Active since October 02, 2007PECOS Enrolled
1617 E MILHAM AVE, PORTAGE, MI 49002(269) 381-7250(268) 381-7790 Get Directions Write a Review

NPPES record last updated: October 2, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kelly Elizabeth Ellen Yeung Dds NPPES

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

DR. KELLY ELIZABETH ELLEN YEUNG DDS (NPI 1255528311) is an individual dentist in Portage, Michigan, licensed in Michigan (2901019319) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255528311
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. KELLY ELIZABETH ELLEN YEUNGCredential: DDS
Location Address1617 E MILHAM AVEPortage, MI 49002-3049
Mailing Address1617 E Milham AvePortage, MI 49002-3049 · (269) 381-7250 · Fax (268) 381-7790
Phone(269) 381-7250
Fax(268) 381-7790
Sole ProprietorNo
Enumeration DateOctober 2, 2007
✔ NPI 1255528311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 2901019319
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.

1617 E MILHAM AVE, Portage, MI 49002
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Other Names 1

Former Name (1)Dr. Kelly Elizabeth Ellen Rowe Dds

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 Elizabeth Ellen Yeung 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 49002 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

JOSHUA MAIKOSKI
Behavior Technician
1617 E MILHAM AVE, SUITE B
PORTAGE, MI 49002
Kalamazoo County (269) 303-5931
RIHAB MUSA
Behavior Technician
1617 E MILHAM AVE
PORTAGE, MI 49002
Kalamazoo County (269) 303-5931
BRIANNA HUFFMAN
Behavior Technician
1617 E MILHAM AVE
PORTAGE, MI 49002
Kalamazoo County (269) 303-5931
FRANCESCA ZANCHETTA
Behavior Technician
1617 E MILHAM AVE, SUITE B
PORTAGE, MI 49002
Kalamazoo County (269) 303-5931
SARAH RADKE
Behavior Technician
1617 E MILHAM AVE, SUITE B
PORTAGE, MI 49002
Kalamazoo County (269) 303-5931
KAYLIE MORRISSEY
Behavior Technician
1617 E MILHAM AVE
PORTAGE, MI 49002
Kalamazoo County (269) 303-5931
JULIE EVERTS
Behavior Technician
1617 E MILHAM AVE
PORTAGE, MI 49002
Kalamazoo County (269) 303-5931
JOHNSON FAMILY DENTISTRY
Dentist (General Practice)
1617 E MILHAM AVE
PORTAGE, MI 49002
Kalamazoo County (269) 381-7250

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 Yeung's NPI number?

The NPI number for Kelly Yeung is 1255528311. It was assigned to this individual provider in the NPPES registry on October 2, 2007. The provider is also known as Dr. Kelly Elizabeth Ellen Rowe Dds.

Where is Kelly Yeung located?

Kelly Yeung practices at 1617 E Milham Ave, Portage, MI 49002. The listed phone number is (269) 381-7250.

What is Kelly Yeung's specialty?

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

Is Kelly Yeung enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelly Yeung was last updated on October 2, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.