KATELYN NOELLE BOBBITT DMD
NPI 1255987616
Dentist in Santa Fe, NM

Active since August 12, 2019PECOS Enrolled
1406 LUISA ST STE 1, SANTA FE, NM 87505(505) 303-4503 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katelyn Noelle Bobbitt Dmd NPPES

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

KATELYN NOELLE BOBBITT DMD (NPI 1255987616) is an individual dentist in Santa Fe, New Mexico, licensed in New Mexico (DD5180) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255987616
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameKATELYN NOELLE BOBBITTCredential: DMD
Location Address1406 LUISA ST STE 1Santa Fe, NM 87505-4161
Mailing Address6931 Walnut Creek Rd NeAlbuquerque, NM 87109-2833 · (479) 806-3320
Sole ProprietorNo
Enumeration DateAugust 12, 2019
Last NPPES UpdateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
NPI 1255987616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in NM · DD5180
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.
1406 LUISA ST STE 1, Santa Fe, NM 87505

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)

Katelyn Noelle Bobbitt Dmd 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 87505 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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 3

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

Dentist
1406 LUISA ST STE 1
SANTA FE, NM 87505
Dentist (General Practice)
1406 LUISA ST STE 1
SANTA FE, NM 87505
Dentist
1406 LUISA ST STE 1
SANTA FE, NM 87505

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 Katelyn Bobbitt's NPI number?

The NPI number for Katelyn Bobbitt is 1255987616. It was assigned to this individual provider in the NPPES registry on August 12, 2019.

Where is Katelyn Bobbitt located?

Katelyn Bobbitt practices at 1406 Luisa St Ste 1, Santa Fe, NM 87505. The listed phone number is (505) 303-4503.

What is Katelyn Bobbitt's specialty?

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

Is Katelyn Bobbitt enrolled in Medicare?

Yes. Katelyn Bobbitt is registered in the Medicare PECOS enrollment system.

What insurance does Katelyn Bobbitt 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 7 other insurers list Katelyn Bobbitt 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 Katelyn Bobbitt was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.