MARK T KELLY
NPI 1578656393
Dentist - General Practice in Oklahoma City, OK
About Mark T Kelly NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK T KELLY (NPI 1578656393) is an individual general practice provider in Oklahoma City, Oklahoma, licensed in Oklahoma (5869) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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)
Mark T Kelly is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
OKLAHOMA CITY, OK 73112
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 Mark Kelly's NPI number?
The NPI number for Mark Kelly is 1578656393. It was assigned to this individual provider in the NPPES registry on October 2, 2006.
Where is Mark Kelly located?
Mark Kelly practices at 3637 NW 39th St, Oklahoma City, OK 73112. The listed phone number is (405) 942-7755.
What is Mark Kelly's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Mark Kelly enrolled in Medicare?
Yes. Mark Kelly is registered in the Medicare PECOS enrollment system.
What insurance does Mark Kelly accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Mark Kelly 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 Mark Kelly was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mark T Kelly · NPI 1578656393
General Practice provider in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since October 2, 2006.
## Identity
- **NPI:** 1578656393 (Entity type: Individual)
- **Enumerated:** October 2, 2006
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 5869 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 3637 NW 39TH ST, Oklahoma City, OK 73112-6309
- **Phone:** (405) 942-7755
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** July 9, 2007
- **Other identifiers:** Other 1888656 (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1578656393) · Data from the CMS NPPES public registry.