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

MRS. KELLY ANNE TIKKANEN LANG DDS
NPI 1942267422
Dentist in Blaine, MN

Q: What is Kelly Lang's NPI number?

The NPI number for Kelly Lang is 1942267422. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Q: What is Kelly Lang'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 Lang was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 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 April 27, 2006PECOS Enrolled

261 HWY 10 NE, BLAINE, MN 55434(763) 786-9644(763) 786-8602 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Kelly Anne Tikkanen Lang Dds NPPES

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

MRS. KELLY ANNE TIKKANEN LANG DDS (NPI 1942267422) is an individual dentist in Blaine, Minnesota, licensed in Minnesota (D11650) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942267422

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameMRS. KELLY ANNE TIKKANEN LANGCredential: DDS

Location Address261 HWY 10 NEBlaine, MN 55434

Mailing AddressPo Box 23029Richfield, MN 55423 · (612) 861-9123 · Fax (612) 861-9155

Phone(763) 786-9644

Fax(763) 786-8602

Sole ProprietorNo

Enumeration DateApril 27, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1942267422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MN · D11650

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.

261 HWY 10 NE, Blaine, MN 55434

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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 Alabama 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)

Mrs. Kelly Anne Tikkanen Lang 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 55434 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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 Lang's NPI number?

The NPI number for Kelly Lang is 1942267422. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Kelly Lang located?

Kelly Lang practices at 261 Hwy 10 NE, Blaine, MN 55434. The listed phone number is (763) 786-9644.

What is Kelly Lang's specialty?

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

Is Kelly Lang enrolled in Medicare?

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

What insurance does Kelly Lang accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Kelly Lang 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 Lang was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 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.