Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. KELLY K KOEHNEN D.D.S.
NPI 1285639815
Dentist - General Practice in Minneapolis, MN

Active since June 20, 2005PECOS Enrolled
1406 W LAKE ST, STE 100, MINNEAPOLIS, MN 55408(612) 827-3736(612) 821-9626 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kelly K Koehnen D.d.s. NPPES

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

DR. KELLY K KOEHNEN D.D.S. (NPI 1285639815) is an individual general practice provider in Minneapolis, Minnesota, licensed in Minnesota (10985) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285639815
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KELLY K KOEHNENCredential: D.D.S.
Location Address1406 W LAKE ST, STE 100Minneapolis, MN 55408-2653
Mailing Address1406 W Lake St, Ste 100Minneapolis, MN 55408-2653 · (612) 827-3736 · Fax (612) 821-9626
Fax(612) 821-9626
Sole ProprietorNo
Enumeration DateJune 20, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1285639815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MN · 10985
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.

1406 W LAKE ST, Minneapolis, MN 55408

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)

Dr. Kelly K Koehnen D.d.s. 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 55408 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 5

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

Counselor (Mental Health)
1406 W LAKE ST
MINNEAPOLIS, MN 55408
Dentist (General Practice)
1406 W LAKE ST, SUITE 100
MINNEAPOLIS, MN 55408
Acupuncturist
1406 W LAKE ST, SUITE 205
MINNEAPOLIS, MN 55408
Dentist (General Practice)
1406 W LAKE ST, SUITE 100
MINNEAPOLIS, MN 55408
Counselor (Professional)
1406 W LAKE ST, 204
MINNEAPOLIS, MN 55408

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 Koehnen's NPI number?

The NPI number for Kelly Koehnen is 1285639815. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Kelly Koehnen located?

Kelly Koehnen practices at 1406 W Lake St Ste 100, Minneapolis, MN 55408. The listed phone number is (612) 827-3736.

What is Kelly Koehnen's specialty?

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

Is Kelly Koehnen enrolled in Medicare?

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

What insurance does Kelly Koehnen accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Kelly Koehnen 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 Koehnen was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.