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KARI MARIE BOLEN D.D.S
NPI 1609002401
Dentist - General Practice in Custer, SD

Active since June 08, 2009PECOS Enrolled
141 N 5TH ST, CUSTER, SD 57730(605) 261-6488 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2021, Jul 28, 2020 (2 updates tracked since 2020).

About Kari Marie Bolen D.d.s NPPES

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

KARI MARIE BOLEN D.D.S (NPI 1609002401) is an individual general practice provider in Custer, South Dakota, licensed in South Dakota (D0926) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Glendale.

NPPES Registry Identity

NPI1609002401
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameKARI MARIE BOLENCredential: D.D.S
Location Address141 N 5TH STCuster, SD 57730-1528
Mailing Address141 N 5th StCuster, SD 57730-1528 · (605) 261-6488
Phone(605) 261-6488
Sole ProprietorNo
Enumeration DateJune 8, 2009
Last NPPES UpdateMay 6, 20212 updates tracked since enumeration
NPPES CertifiedMay 6, 2021
✔ NPI 1609002401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in SD · D0926✔ Licensed in IA · 08623
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.
Also ListedDentistTaxonomy 122300000X · License D010608 (AZ)
141 N 5TH ST, Custer, SD 57730
Open in Google Maps ↗

Secondary Practice Location 1

Location 15143 W Olive Ave Ste 140Glendale, AZ 85302-4206 · Phone (623) 939-2600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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)

Kari Marie Bolen 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 57730 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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 7

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

DESTINATION DENTAL PROFESSIONALS II
Dentist (General Practice)
141 N 5TH ST
CUSTER, SD 57730
Custer County (605) 673-2011
DR. CATHERINE RENEE FRANCO DDS
Dentist (General Practice)
141 N 5TH ST
CUSTER, SD 57730
Custer County (605) 673-2212
SLEEP BETTER SOUTH DAKOTA LLC
Dentist
141 N 5TH ST
CUSTER, SD 57730
Custer County (605) 389-3289
DR. JOHN ROBERT ZENT DDS
Dentist (General Practice)
141 N 5TH ST
CUSTER, SD 57730
Custer County (605) 673-2212
BOLEN DENTAL PC
Clinic/Center (Dental)
141 N 5TH ST
CUSTER, SD 57730
Custer County (605) 321-2086
BOLEN DENTAL PC
Community Health Worker
141 N 5TH ST
CUSTER, SD 57730
Custer County (605) 673-2212
DR. DANIEL L CUSTIS DDS
Dentist (General Practice)
141 N 5TH ST
CUSTER, SD 57730
Custer County (605) 673-2011

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 Kari Bolen's NPI number?

The NPI number for Kari Bolen is 1609002401. It was assigned to this individual provider in the NPPES registry on June 8, 2009.

Where is Kari Bolen located?

Kari Bolen practices at 141 N 5th St, Custer, SD 57730. The listed phone number is (605) 261-6488.

What is Kari Bolen's specialty?

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

Is Kari Bolen enrolled in Medicare?

Yes. Kari Bolen is registered in the Medicare PECOS enrollment system.

What insurance does Kari Bolen accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 5 other insurers list Kari Bolen 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 Kari Bolen was last updated on May 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.