KELLY CATHERINE BAST DDS
NPI 1740358753
Dentist - Oral and Maxillofacial Surgery in Fairbanks, AK

Q: What is Kelly Bast's NPI number?

The NPI number for Kelly Bast is 1740358753. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Q: What is Kelly Bast's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Bast was last updated on September 6, 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 November 30, 2006PECOS Enrolled

3112 AIRPORT WAY STE 1, FAIRBANKS, AK 99709(907) 452-1250 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelly Catherine Bast Dds NPPES

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

KELLY CATHERINE BAST DDS (NPI 1740358753) is an individual oral and maxillofacial surgery provider in Fairbanks, Alaska, licensed in Alaska (1188) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740358753

Entity TypeIndividualFemale

Primary Taxonomy1223S0112X

Provider Legal NameKELLY CATHERINE BASTCredential: DDS

Location Address3112 AIRPORT WAY STE 1Fairbanks, AK 99709-4768

Mailing Address3112 Airport Way Ste 1Fairbanks, AK 99709-4768 · (907) 452-1250

Phone(907) 452-1250

Sole ProprietorNo

Enumeration DateNovember 30, 2006

Last NPPES UpdateSeptember 6, 2023

NPPES CertifiedSeptember 6, 2023

✔ NPI 1740358753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in AK · 1188

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedDentistTaxonomy 122300000X · License 1188 (AK)

Also ListedDentist · Orofacial PainTaxonomy 1223X2210X · License 1188 (AK)

3112 AIRPORT WAY STE 1, Fairbanks, AK 99709

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Other Identifiers 1

Other1188AK · State Of Alaska Lic.

Accepted Insurance

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

Kelly Catherine Bast 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 99709 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

$111.57 typical visit price

range $71.33 – $222.64

Typical copayment $27.89 (range $17.83 – $55.66)

Most-billed visit code 99203

Established Patient

$90.40 typical visit price

range $21.84 – $181.48

Typical copayment $22.60 (range $5.46 – $45.37)

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 2

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

ADAM WEIS DDS.

Dentist (General Practice)

3112 AIRPORT WAY STE 1
FAIRBANKS, AK 99709

Fairbanks North Star Borough (907) 452-1250

KRISTEN LEIGH WHETSELL DDS

Dentist (Oral and Maxillofacial Surgery)

3112 AIRPORT WAY STE 1
FAIRBANKS, AK 99709

Fairbanks North Star Borough (907) 452-1250

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 Kelly Bast's NPI number?

The NPI number for Kelly Bast is 1740358753. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Kelly Bast located?

Kelly Bast practices at 3112 Airport Way Ste 1, Fairbanks, AK 99709. The listed phone number is (907) 452-1250.

What is Kelly Bast's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Kelly Bast enrolled in Medicare?

Yes. Kelly Bast is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Bast accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Kelly Bast 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 Kelly Bast was last updated on September 6, 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.