DR. KELLEY RAY MINGUS D.M.D
NPI 1447259262
Dentist - General Practice in Bend, OR

Q: What is Kelley Mingus's NPI number?

The NPI number for Kelley Mingus is 1447259262. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Q: What is Kelley Mingus's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelley Mingus was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since July 14, 2005PECOS Enrolled

225 SCALEHOUSE LOOP STE 101, BEND, OR 97702(541) 382-6565(541) 382-6776 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: October 11, 2026.

On this page

About Dr. Kelley Ray Mingus D.m.d NPPES

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

DR. KELLEY RAY MINGUS D.M.D (NPI 1447259262) is an individual general practice provider in Bend, Oregon, licensed in Oregon (D7191) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Burns.

NPPES Registry Identity

NPI1447259262

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KELLEY RAY MINGUSCredential: D.M.D

Location Address225 SCALEHOUSE LOOP STE 101Bend, OR 97702-1241

Mailing Address225 Scalehouse Loop Ste 101Bend, OR 97702-1241 · (541) 382-6565 · Fax (541) 382-6776

Phone(541) 382-6565

Fax(541) 382-6776

Sole ProprietorYes

Enumeration DateJuly 14, 2005

Last NPPES UpdateJanuary 13, 2025

NPPES CertifiedJanuary 13, 2025

✔ NPI 1447259262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OR · D7191

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.

Also ListedDentistTaxonomy 122300000X · License D7191 (OR)

225 SCALEHOUSE LOOP STE 101, Bend, OR 97702

Open in Google Maps ↗

Secondary Practice Location 1

Location 1711 Ponderosa VlgBurns, OR 97720-2315 · Phone (541) 589-4202

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. Kelley Ray Mingus D.m.d 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 97702 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

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 Kelley Mingus's NPI number?

The NPI number for Kelley Mingus is 1447259262. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Kelley Mingus located?

Kelley Mingus practices at 225 Scalehouse Loop Ste 101, Bend, OR 97702. The listed phone number is (541) 382-6565.

What is Kelley Mingus's specialty?

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

Is Kelley Mingus enrolled in Medicare?

Yes. Kelley Mingus is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelley Mingus was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.