Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLY GANZEN
NPI 1922679943
Dentist in Bethesda, MD

Q: What is Kelly Ganzen's NPI number?

The NPI number for Kelly Ganzen is 1922679943. It was assigned to this individual provider in the NPPES registry on July 9, 2021.

Q: What is Kelly Ganzen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Ganzen was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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 July 09, 2021PECOS Enrolled

8955 WOOD ROAD, BUILDING 1, BETHESDA, MD 20899(301) 295-0064 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 15, 2026, Jul 6, 2022, Jul 9, 2021 (3 updates tracked since 2021).

On this page

About Kelly Ganzen NPPES

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

KELLY GANZEN (NPI 1922679943) is an individual dentist in Bethesda, Maryland, licensed in Utah (1922679943) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922679943

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameKELLY GANZEN

Location Address8955 WOOD ROAD, BUILDING 1Bethesda, MD 20899

Mailing Address8015 Old Georgetown Rd Apt 737Bethesda, MD 20814-2590

Phone(301) 295-0064

Sole ProprietorNo

Enumeration DateJuly 9, 2021

Last NPPES UpdateJuly 15, 20263 updates tracked since enumeration

NPPES CertifiedJuly 15, 2026

✔ NPI 1922679943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in UT · 1922679943

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.

8955 WOOD ROAD, Bethesda, MD 20899

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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)

Kelly Ganzen 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 20899 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

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 Ganzen's NPI number?

The NPI number for Kelly Ganzen is 1922679943. It was assigned to this individual provider in the NPPES registry on July 9, 2021.

Where is Kelly Ganzen located?

Kelly Ganzen practices at 8955 Wood Road Building 1, Bethesda, MD 20899. The listed phone number is (301) 295-0064.

What is Kelly Ganzen's specialty?

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

Is Kelly Ganzen enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelly Ganzen was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.