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DR. JOSEPH KELLY DMD
NPI 1356740328
Dentist in Vancouver, WA

Active since August 15, 2014PECOS Enrolled
1008 NW 59TH ST., VANCOUVER, WA 98663(360) 903-3872 Get Directions Write a Review

NPPES record last updated: August 15, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Joseph Kelly Dmd NPPES

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

DR. JOSEPH KELLY DMD (NPI 1356740328) is an individual dentist in Vancouver, Washington, licensed in Oregon (D10125) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356740328
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JOSEPH KELLYCredential: DMD
Location Address1008 NW 59TH ST.Vancouver, WA 98663
Mailing Address1008 Nw 59th St.Vancouver, WA 98663 · (360) 903-3872
Phone(360) 903-3872
Sole ProprietorNo
Enumeration DateAugust 15, 2014
✔ NPI 1356740328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OR · D10125
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.
1008 NW 59TH ST., Vancouver, WA 98663
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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. Joseph Kelly 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 98663 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 Joseph Kelly's NPI number?

The NPI number for Joseph Kelly is 1356740328. It was assigned to this individual provider in the NPPES registry on August 15, 2014.

Where is Joseph Kelly located?

Joseph Kelly practices at 1008 NW 59th St., Vancouver, WA 98663. The listed phone number is (360) 903-3872.

What is Joseph Kelly's specialty?

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

Is Joseph Kelly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Joseph Kelly was last updated on August 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.