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DR. KELLY STANDISH DMD
NPI 1538515796
Dentist in Orange Park, FL

Active since May 06, 2016PECOS Enrolled
1700 EAGLE HARBOR PARKWAY EAST, ORANGE PARK, FL 32003(904) 269-6558(904) 278-9292 Get Directions Write a Review

NPPES record last updated: May 6, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kelly Standish Dmd NPPES

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

DR. KELLY STANDISH DMD (NPI 1538515796) is an individual dentist in Orange Park, Florida, licensed in Florida (DN20176) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538515796
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. KELLY STANDISHCredential: DMD
Location Address1700 EAGLE HARBOR PARKWAY EASTOrange Park, FL 32003
Mailing Address1700 Eagle Harbor Parkway EastOrange Park, FL 32003 · (904) 269-6558 · Fax (904) 278-9292
Phone(904) 269-6558
Fax(904) 278-9292
Sole ProprietorNo
Enumeration DateMay 6, 2016
✔ NPI 1538515796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN20176
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.
1700 EAGLE HARBOR PARKWAY EAST, Orange Park, FL 32003
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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. Kelly Standish 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 32003 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 Standish's NPI number?

The NPI number for Kelly Standish is 1538515796. It was assigned to this individual provider in the NPPES registry on May 6, 2016.

Where is Kelly Standish located?

Kelly Standish practices at 1700 Eagle Harbor Parkway East, Orange Park, FL 32003. The listed phone number is (904) 269-6558.

What is Kelly Standish's specialty?

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

Is Kelly Standish enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelly Standish was last updated on May 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.