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DR. KELLY PATRICK BECKHAM JR. DDS
NPI 1891132114
Dentist in Houston, TX

Active since May 28, 2013Opted out of Medicare · through Jun 6, 2028
4702 KINGFISHER DR, HOUSTON, TX 77035(832) 244-2770 Get Directions Write a Review

NPPES record last updated: May 28, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Kelly Patrick Beckham Jr. Dds NPPES

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

DR. KELLY PATRICK BECKHAM JR. DDS (NPI 1891132114) is an individual dentist in Houston, Texas, licensed in Texas (28999) and active in the NPI registry since May 2013. He has opted out of Medicare through June 6, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1891132114
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KELLY PATRICK BECKHAM JR.Credential: DDS
Location Address4702 KINGFISHER DRHouston, TX 77035-4920
Mailing Address4702 Kingfisher DrHouston, TX 77035-4920
Phone(832) 244-2770
Sole ProprietorYes
Enumeration DateMay 28, 2013
✔ NPI 1891132114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TX · 28999
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4702 KINGFISHER DR, Houston, TX 77035
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Kelly Patrick Beckham Jr. Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 6, 2016 through June 6, 2028.

Opt-Out Effective DateJune 6, 2016
Opt-Out In Effect ThroughJune 6, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77035 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

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 Beckham's NPI number?

The NPI number for Kelly Beckham is 1891132114. It was assigned to this individual provider in the NPPES registry on May 28, 2013.

Where is Kelly Beckham located?

Kelly Beckham practices at 4702 Kingfisher Dr, Houston, TX 77035. The listed phone number is (832) 244-2770.

What is Kelly Beckham's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kelly Beckham enrolled in Medicare?

No. Kelly Beckham has opted out of Medicare through June 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Kelly Beckham accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental PPO and Humana list Kelly Beckham 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 Beckham was last updated on May 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.