1. Home
  2. Directory
  3. New York
  4. Canton
  5. Dentist
  6. NPI Profile

DR. KELI ROSE HOLLIS D.D.S.
NPI 1487885505
Dentist - General Practice in Canton, NY

Active since August 06, 2009PECOS Enrolled
1956 OLD DEKALB RD, CANTON, NY 13617(315) 386-2960 Get Directions Write a Review

NPPES record last updated: January 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Keli Rose Hollis D.d.s. NPPES

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

DR. KELI ROSE HOLLIS D.D.S. (NPI 1487885505) is an individual general practice provider in Canton, New York, licensed in New York (054506) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487885505
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KELI ROSE HOLLISCredential: D.D.S.
Location Address1956 OLD DEKALB RDCanton, NY 13617-3134
Mailing Address1956 Old Dekalb RdCanton, NY 13617-3134 · (315) 386-2960
Phone(315) 386-2960
Sole ProprietorNo
Enumeration DateAugust 6, 2009
Last NPPES UpdateJanuary 4, 2021
NPPES CertifiedDecember 1, 2020
✔ NPI 1487885505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 054506
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.
1956 OLD DEKALB RD, Canton, NY 13617
Open in Google Maps ↗

Other Identifiers 1

Medicaid01995615NY

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. Keli Rose Hollis D.d.s. 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 13617 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 2

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

GRASSE RIVER FAMILY DENTAL
Clinic/Center (Dental)
1956 OLD DEKALB RD
CANTON, NY 13617
St. Lawrence County (315) 386-2960
CURT D ROSS DDS
Dentist
1956 OLD DEKALB RD
CANTON, NY 13617
St. Lawrence County (315) 386-2960

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 Keli Hollis's NPI number?

The NPI number for Keli Hollis is 1487885505. It was assigned to this individual provider in the NPPES registry on August 6, 2009.

Where is Keli Hollis located?

Keli Hollis practices at 1956 Old Dekalb Rd, Canton, NY 13617. The listed phone number is (315) 386-2960.

What is Keli Hollis's specialty?

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

Is Keli Hollis enrolled in Medicare?

Yes. Keli Hollis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keli Hollis was last updated on January 4, 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.