1. Home
  2. Directory
  3. Tennessee
  4. Maryville
  5. Oral Maxillofacial Surgery
  6. NPI Profile

DR. KELSEY GARDNER LAPORTE DDS, MD
NPI 1457791253
Oral & Maxillofacial Surgery in Maryville, TN

Active since June 26, 2013PECOS Enrolled
205 SOUTHDOWNE DR, MARYVILLE, TN 37801(865) 381-8867(865) 724-1803 Get Directions Write a Review

NPPES record last updated: July 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 16, 2020, Aug 8, 2019 (2 updates tracked since 2019).

About Dr. Kelsey Gardner Laporte Dds, Md NPPES

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

DR. KELSEY GARDNER LAPORTE DDS, MD (NPI 1457791253) is an individual oral & maxillofacial surgery provider in Maryville, Tennessee, licensed in Tennessee (11255) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1457791253
Entity TypeIndividualFemale
Primary Taxonomy204E00000X
Provider Legal NameDR. KELSEY GARDNER LAPORTECredential: DDS, MD
Location Address205 SOUTHDOWNE DRMaryville, TN 37801-3747
Mailing Address205 Southdowne DrMaryville, TN 37801-3747 · (865) 381-8867 · Fax (865) 724-1803
Phone(865) 381-8867
Fax(865) 724-1803
Sole ProprietorNo
Enumeration DateJune 26, 2013
Last NPPES UpdateJuly 16, 20202 updates tracked since enumeration
NPPES CertifiedJuly 16, 2020
✔ NPI 1457791253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses✔ Licensed in TN · 11255✔ Licensed in NE · 7105
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
205 SOUTHDOWNE DR, Maryville, TN 37801
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Kelsey Gardner Dds, Md

Secondary Practice Locations 3

Location 11411 John F Kennedy DrBellevue, NE 68005 · Phone (402) 291-3535
Location 2Oral and Maxillofacial Surgery, 984125 Nebraska Medical CenterOmaha, NE 68198-0001 · Phone (402) 559-6445
Location 3546 S Washington StPapillion, NE 68046-2632 · Phone (402) 916-5800 · Fax (402) 916-5900

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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. Kelsey Gardner Laporte Dds, Md 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.

Other Providers at the Same Location NPPES 2

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

DR. OTTO W SLATER DDS
Dentist (Oral and Maxillofacial Surgery)
205 SOUTHDOWNE DR
MARYVILLE, TN 37801
Blount County (865) 381-8867
TENNESSEE VALLEY ORAL SURGERY. PLLC
Dentist (Oral and Maxillofacial Surgery)
205 SOUTHDOWNE DR
MARYVILLE, TN 37801
Blount County (865) 381-8867

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 Kelsey Gardner Laporte's NPI number?

The NPI number for Kelsey Gardner Laporte is 1457791253. It was assigned to this individual provider in the NPPES registry on June 26, 2013. The provider is also known as Dr. Kelsey Gardner Dds, MD.

Where is Kelsey Gardner Laporte located?

Kelsey Gardner Laporte practices at 205 Southdowne Dr, Maryville, TN 37801. The listed phone number is (865) 381-8867.

What is Kelsey Gardner Laporte's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Kelsey Gardner Laporte enrolled in Medicare?

Yes. Kelsey Gardner Laporte is registered in the Medicare PECOS enrollment system.

What insurance does Kelsey Gardner Laporte accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Kelsey Gardner Laporte 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 Kelsey Gardner Laporte was last updated on July 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.