1. Home
  2. Directory
  3. Kentucky
  4. Burkesville
  5. Dentist
  6. NPI Profile

DR. TONDA R HELTON DMD
NPI 1295934701
Dentist - General Practice in Burkesville, KY

Active since July 13, 2007PECOS Enrolled
360 KEEN ST, BURKESVILLE, KY 42717(270) 864-1472(270) 864-1693 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2024, Dec 6, 2018, Nov 18, 2015 (3 updates tracked since 2015).

About Dr. Tonda R Helton Dmd NPPES

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

DR. TONDA R HELTON DMD (NPI 1295934701) is an individual general practice provider in Burkesville, Kentucky, licensed in Kentucky (8522) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295934701
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TONDA R HELTONCredential: DMD
Location Address360 KEEN STBurkesville, KY 42717-7915
Mailing AddressPo Box 1080Burkesville, KY 42717-1080 · (270) 858-6655 · Fax (270) 858-4027
Phone(270) 864-1472
Fax(270) 864-1693
Sole ProprietorNo
Enumeration DateJuly 13, 2007
Last NPPES UpdateApril 8, 20243 updates tracked since enumeration
✔ NPI 1295934701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KY · 8522
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.
360 KEEN ST, Burkesville, KY 42717
Open in Google Maps ↗

Other Identifiers 2

Other12648704KY · Caqh
Medicaid7100017820KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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)

Dr. Tonda R Helton 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 42717 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 7

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

CHASTITY S BROWN APRN
Nurse Practitioner (Family)
360 KEEN ST
BURKESVILLE, KY 42717
Cumberland County (270) 864-2889
KELLY MORGAN ARNP
Nurse Practitioner (Women's Health)
360 KEEN ST
BURKESVILLE, KY 42717
Cumberland County (270) 864-2889
DR. DAWN RITA ALLEN DMD
Dentist (General Practice)
360 KEEN ST
BURKESVILLE, KY 42717
Cumberland County (270) 864-1472
LAUREN M JANES APRN
Nurse Practitioner (Family)
360 KEEN ST
BURKESVILLE, KY 42717
Cumberland County (270) 864-2889
DR. ANNELEE JAYME DMD
Dentist (General Practice)
360 KEEN ST
BURKESVILLE, KY 42717
Cumberland County (844) 435-0900
DR. SHELBY L STEPHENS DMD
Dentist (General Practice)
360 KEEN ST
BURKESVILLE, KY 42717
Cumberland County (844) 435-0900
CUMBERLAND FAMILY MEDICAL CENTER INC
Clinic/Center (Federally Qualified Health Center (FQHC))
360 KEEN ST
BURKESVILLE, KY 42717
Cumberland County (270) 864-2889

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 Tonda Helton's NPI number?

The NPI number for Tonda Helton is 1295934701. It was assigned to this individual provider in the NPPES registry on July 13, 2007.

Where is Tonda Helton located?

Tonda Helton practices at 360 Keen St, Burkesville, KY 42717. The listed phone number is (270) 864-1472.

What is Tonda Helton's specialty?

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

Is Tonda Helton enrolled in Medicare?

Yes. Tonda Helton is registered in the Medicare PECOS enrollment system.

What insurance does Tonda Helton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 10 other insurers list Tonda Helton 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 Tonda Helton was last updated on April 8, 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.