1. Home
  2. Directory
  3. Idaho
  4. Falls
  5. Dentist
  6. NPI Profile

DR. TRENT MERRILL KELLY DDS
NPI 1952663460
Dentist in Idaho Falls, ID

Active since June 11, 2012PECOS Enrolled
1991 W BROADWAY ST, IDAHO FALLS, ID 83402(208) 999-4746 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Trent Merrill Kelly Dds NPPES

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

DR. TRENT MERRILL KELLY DDS (NPI 1952663460) is an individual dentist in Idaho Falls, Idaho, licensed in Ohio (30023683) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952663460
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. TRENT MERRILL KELLYCredential: DDS
Location Address1991 W BROADWAY STIdaho Falls, ID 83402-3041
Mailing Address1991 W Broadway StIdaho Falls, ID 83402-3041 · (208) 999-4746
Phone(208) 999-4746
Sole ProprietorYes
Enumeration DateJune 11, 2012
Last NPPES UpdateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
✔ NPI 1952663460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OH · 30023683
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.
1991 W BROADWAY ST, Idaho Falls, ID 83402
Open in Google Maps ↗

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)

Dr. Trent Merrill Kelly 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 83402 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 3

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

CRAIG DARRINGTON DDS
Dentist
1991 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 999-4746
CHOICE DENTAL
Dentist
1991 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 999-4746
DR. DOUGLAS JAMES HILBORN OD
Optometrist
1991 W BROADWAY ST, SUITE 2
IDAHO FALLS, ID 83402
Bonneville County (208) 529-4333

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 Trent Kelly's NPI number?

The NPI number for Trent Kelly is 1952663460. It was assigned to this individual provider in the NPPES registry on June 11, 2012.

Where is Trent Kelly located?

Trent Kelly practices at 1991 W Broadway St, Idaho Falls, ID 83402. The listed phone number is (208) 999-4746.

What is Trent Kelly's specialty?

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

Is Trent Kelly enrolled in Medicare?

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

What insurance does Trent Kelly 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 7 other insurers list Trent Kelly 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 Trent Kelly was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.