DR. KELLY A JONES D.D.S.
NPI 1477843936
Dentist - Pediatric Dentistry in Rochester, MN

Q: What is Kelly Jones's NPI number?

The NPI number for Kelly Jones is 1477843936. It was assigned to this individual provider in the NPPES registry on April 18, 2011.

Q: What is Kelly Jones's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: Is Kelly Jones enrolled in Medicare?

No. Kelly Jones has opted out of Medicare through May 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Kelly Jones was last updated on January 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 18, 2011Opted out of Medicare · through May 18, 2027

1705 BROADWAY AVE S STE B, ROCHESTER, MN 55904(507) 288-0102(507) 252-1445 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 20, 2021, Nov 22, 2017 (2 updates tracked since 2017).

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About Dr. Kelly A Jones D.d.s. NPPES

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

DR. KELLY A JONES D.D.S. (NPI 1477843936) is an individual pediatric dentistry provider in Rochester, Minnesota, licensed in Minnesota (D13120) and active in the NPI registry since April 2011. She has opted out of Medicare through May 18, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1477843936

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameDR. KELLY A JONESCredential: D.D.S.

Location Address1705 BROADWAY AVE S STE BRochester, MN 55904-7960

Mailing Address1042 Plummer Cir SwRochester, MN 55902-2036 · (608) 206-1233 · Fax (507) 252-1445

Phone(507) 288-0102

Fax(507) 252-1445

Sole ProprietorNo

Enumeration DateApril 18, 2011

Last NPPES UpdateJanuary 20, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2021

✔ NPI 1477843936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Licenses✔ Licensed in MN · D13120✔ Licensed in WI · 6800-15

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

1705 BROADWAY AVE S STE B, Rochester, MN 55904

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kelly A Jones D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 18, 2015 through May 18, 2027.

Opt-Out Effective DateMay 18, 2015

Opt-Out In Effect ThroughMay 18, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55904 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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 Kelly Jones's NPI number?

The NPI number for Kelly Jones is 1477843936. It was assigned to this individual provider in the NPPES registry on April 18, 2011.

Where is Kelly Jones located?

Kelly Jones practices at 1705 Broadway Ave S Ste B, Rochester, MN 55904. The listed phone number is (507) 288-0102.

What is Kelly Jones's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Kelly Jones enrolled in Medicare?

No. Kelly Jones has opted out of Medicare through May 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kelly Jones was last updated on January 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.