DR. ANDREA NICOLE KAE DDS
NPI 1760375687
Dentist - General Practice in Rapid City, SD

Active since May 30, 2025PECOS Enrolled
3200 CANYON LAKE DR, RAPID CITY, SD 57702(605) 355-2500 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Andrea Nicole Kae Dds NPPES

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

DR. ANDREA NICOLE KAE DDS (NPI 1760375687) is an individual general practice provider in Rapid City, South Dakota, licensed in Florida (DN30302) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1760375687
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ANDREA NICOLE KAECredential: DDS
Location Address3200 CANYON LAKE DRRapid City, SD 57702-8114
Mailing Address4817 Miles DrNew Orleans, LA 70122-2507 · (850) 361-7070
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateMay 30, 2025
NPPES CertifiedMay 30, 2025
NPI 1760375687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in FL · DN30302
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.
3200 CANYON LAKE DR, Rapid City, SD 57702

Other Names 1

Former Name (1)Dr. Andrea Nicole Cawthon Dds

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. Andrea Nicole Kae Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072080134
PECOS Enrollment IDI20260427000066
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 57702 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 20

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

Technician, Pathology
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Social Worker (Clinical)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Registered Nurse
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Technician, Pathology (Medical Laboratory)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Registered Nurse (Case Management)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Non-emergency Medical Transport (VAN)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Registered Nurse
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Specialist/Technologist, Pathology (Medical Technologist)
3200 CANYON LAKE DR
RAPID CITY, SD 57702

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 Andrea Kae's NPI number?

The NPI number for Andrea Kae is 1760375687. It was assigned to this individual provider in the NPPES registry on May 30, 2025. The provider is also known as Dr. Andrea Nicole Cawthon Dds.

Where is Andrea Kae located?

Andrea Kae practices at 3200 Canyon Lake Dr, Rapid City, SD 57702. The listed phone number is (605) 355-2500.

What is Andrea Kae's specialty?

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

Is Andrea Kae enrolled in Medicare?

Yes. Andrea Kae is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrea Kae was last updated on May 30, 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.