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DR. KELLY LEE KINGMA D.D.S.
NPI 1972759546
Dentist in Bettendorf, IA

Active since August 14, 2008PECOS Enrolled
3024 VICTORIA ST, BETTENDORF, IA 52722(563) 332-2447 Get Directions Write a Review

NPPES record last updated: April 23, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kelly Lee Kingma D.d.s. NPPES

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

DR. KELLY LEE KINGMA D.D.S. (NPI 1972759546) is an individual dentist in Bettendorf, Iowa, licensed in Iowa (08557) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972759546
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. KELLY LEE KINGMACredential: D.D.S.
Location Address3024 VICTORIA STBettendorf, IA 52722-2793
Mailing Address2217 Harvest CirCoralville, IA 52241-3466 · (319) 530-3626
Phone(563) 332-2447
Sole ProprietorNo
Enumeration DateAugust 14, 2008
Last NPPES UpdateApril 23, 2012
✔ NPI 1972759546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IA · 08557
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.
3024 VICTORIA ST, Bettendorf, IA 52722
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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. Kelly Lee Kingma D.d.s. 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 52722 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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 5

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

QC DENTAL DOCS, P.C.
Dentist (General Practice)
3024 VICTORIA ST
BETTENDORF, IA 52722
Scott County (563) 332-2447
DR. JASON R BENOIT DDS
Dentist (General Practice)
3024 VICTORIA ST
BETTENDORF, IA 52722
Scott County (563) 332-2447
DR. THOMAS PAUL IRWIN JR. DMD
Dentist (General Practice)
3024 VICTORIA ST
BETTENDORF, IA 52722
Scott County (563) 332-2447
DR. JONATHAN ANDREW WENGER DDS
Dentist (General Practice)
3024 VICTORIA ST
BETTENDORF, IA 52722
Scott County (563) 332-9787
DR. VINTI AHUJA DMD
Dentist (General Practice)
3024 VICTORIA ST
BETTENDORF, IA 52722
Scott County (563) 242-4917

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 Kingma's NPI number?

The NPI number for Kelly Kingma is 1972759546. It was assigned to this individual provider in the NPPES registry on August 14, 2008.

Where is Kelly Kingma located?

Kelly Kingma practices at 3024 Victoria St, Bettendorf, IA 52722. The listed phone number is (563) 332-2447.

What is Kelly Kingma's specialty?

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

Is Kelly Kingma enrolled in Medicare?

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

What insurance does Kelly Kingma accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 8 other insurers list Kelly Kingma 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 Kingma was last updated on April 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.