RYAN KELM DDS, MD
NPI 1619611936
Dentist - General Practice in Shreveport, LA
About Ryan Kelm Dds, Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RYAN KELM DDS, MD (NPI 1619611936) is an individual general practice provider in Shreveport, Louisiana, licensed in Louisiana (7704) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
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)
Ryan Kelm Dds, Md 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 71103 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
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 Ryan Kelm's NPI number?
The NPI number for Ryan Kelm is 1619611936. It was assigned to this individual provider in the NPPES registry on April 22, 2022.
Where is Ryan Kelm located?
Ryan Kelm practices at 1501 Kings Hwy, Shreveport, LA 71103. The listed phone number is (318) 626-0547.
What is Ryan Kelm's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Ryan Kelm enrolled in Medicare?
Yes. Ryan Kelm is registered in the Medicare PECOS enrollment system.
What insurance does Ryan Kelm accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and BEST Life and 13 other insurers list Ryan Kelm 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 Ryan Kelm was last updated on June 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Ryan Kelm, DDS, MD · NPI 1619611936
General Practice provider in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since April 22, 2022.
## Identity
- **NPI:** 1619611936 (Entity type: Individual)
- **Enumerated:** April 22, 2022
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 7704 (Louisiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1501 KINGS HWY, Shreveport, LA 71103-4228
- **Phone:** (318) 626-0547
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** June 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1619611936) · Data from the CMS NPPES public registry.