Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KELLY GANZEN
NPI 1922679943
Dentist in Bethesda, MD

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: July 19, 2026.

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

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
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

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

The NPI number assigned to this healthcare provider is 1922679943, enumerated as an "individual" on July 09, 2021.

The provider is located at 8955 WOOD ROAD BUILDING 1 BETHESDA, MD 20899 and the phone number is (301) 295-0064.

Dentist with taxonomy code 122300000X.