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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. GREG ALAN KELLEY D.D.S.
NPI 1629079470
Dentist - General Practice in Independence, KS

Active since August 02, 2005PECOS Enrolled
109 W MAIN ST, INDEPENDENCE, KS 67301(620) 331-3180(620) 331-3170 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Greg Alan Kelley D.d.s. NPPES

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

DR. GREG ALAN KELLEY D.D.S. (NPI 1629079470) is an individual general practice provider in Independence, Kansas, licensed in Kansas (6381) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629079470
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GREG ALAN KELLEYCredential: D.D.S.
Location Address109 W MAIN STIndependence, KS 67301-3510
Mailing Address109 W Main StIndependence, KS 67301-3510 · (620) 331-3180 · Fax (620) 331-3170
Phone(620) 331-3180
Fax(620) 331-3170
Sole ProprietorNo
Enumeration DateAugust 2, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1629079470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KS · 6381
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.

109 W MAIN ST, Independence, KS 67301
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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. Greg Alan Kelley 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 67301 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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

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

GRANT M WEBSTER DMD FAMILY DENTISTRY LLC
Clinic/Center (Dental)
109 W MAIN ST
INDEPENDENCE, KS 67301
Montgomery County (620) 331-3180

Frequently Asked Questions

What is Greg Kelley's NPI number?

The NPI number assigned to this healthcare provider is 1629079470, enumerated as an "individual" on August 02, 2005.

Where is the provider located?

The provider is located at 109 W MAIN ST INDEPENDENCE, KS 67301 and the phone number is (620) 331-3180.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.