PATRICK JOHN KELLY DDS
NPI 1730672833
Dentist - General Practice in San Antonio, TX

Q: What is Patrick Kelly's NPI number?

The NPI number for Patrick Kelly is 1730672833. It was assigned to this individual provider in the NPPES registry on June 13, 2018.

Q: What is Patrick Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Patrick Kelly was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 13, 2018PECOS Enrolled

3066 E COMMERCE ST, SAN ANTONIO, TX 78220(210) 233-7000 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2023, Jun 29, 2020, Jun 13, 2018 (3 updates tracked since 2018).

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About Patrick John Kelly Dds NPPES

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

PATRICK JOHN KELLY DDS (NPI 1730672833) is an individual general practice provider in San Antonio, Texas, licensed in Texas (34054) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730672833

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NamePATRICK JOHN KELLYCredential: DDS

Location Address3066 E COMMERCE STSan Antonio, TX 78220-1013

Mailing Address3066 E Commerce StSan Antonio, TX 78220-1013 · (210) 233-7000

Phone(210) 233-7000

Sole ProprietorNo

Enumeration DateJune 13, 2018

Last NPPES UpdateDecember 11, 20233 updates tracked since enumeration

NPPES CertifiedDecember 11, 2023

✔ NPI 1730672833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 34054

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.

3066 E COMMERCE ST, San Antonio, TX 78220

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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)

Patrick John Kelly Dds 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 78220 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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 20

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

DR. CHRISTINA MARIE MEINERS D.D.S.

Dentist (General Practice)