Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PAUL DAVID VANDER KELEN D.D.S.
NPI 1295738854
Dentist - General Practice in Green Bay, WI

Active since May 27, 2005PECOS Enrolled
2313 S. WEBSTER AVENUE, GREEN BAY, WI 54301(920) 432-8492(920) 432-6141 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Paul David Vander Kelen D.d.s. NPPES

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

DR. PAUL DAVID VANDER KELEN D.D.S. (NPI 1295738854) is an individual general practice provider in Green Bay, Wisconsin, licensed in Wisconsin (WI 2484) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295738854
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PAUL DAVID VANDER KELENCredential: D.D.S.
Location Address2313 S. WEBSTER AVENUEGreen Bay, WI 54301-2194
Mailing Address3934 Saint Croix Cir EGreen Bay, WI 54301-1075 · (920) 337-0970
Fax(920) 432-6141
Sole ProprietorNo
Enumeration DateMay 27, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1295738854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WI · WI 2484
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.
2313 S. WEBSTER AVENUE, Green Bay, WI 54301

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. Paul David Vander Kelen 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 54301 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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 Paul Vander Kelen's NPI number?

The NPI number for Paul Vander Kelen is 1295738854. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Paul Vander Kelen located?

Paul Vander Kelen practices at 2313 S. Webster Avenue, Green Bay, WI 54301. The listed phone number is (920) 432-8492.

What is Paul Vander Kelen's specialty?

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

Is Paul Vander Kelen enrolled in Medicare?

Yes. Paul Vander Kelen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paul Vander Kelen was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.