TAWAPHAN W KELLY DDS
NPI 1992189674
Dentist - General Practice in Abilene, TX

Q: What is Tawaphan Kelly's NPI number?

The NPI number for Tawaphan Kelly is 1992189674. It was assigned to this individual provider in the NPPES registry on July 13, 2015.

Q: What is Tawaphan Kelly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Tawaphan Kelly was last updated on April 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since July 13, 2015PECOS Enrolled

4754 S 14TH ST, ABILENE, TX 79605(325) 480-1524 Get Directions Write a Review

NPPES record last updated: April 19, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 19, 2017, Nov 16, 2016 (2 updates tracked since 2016).

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About Tawaphan W Kelly Dds NPPES

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

TAWAPHAN W KELLY DDS (NPI 1992189674) is an individual general practice provider in Abilene, Texas, licensed in Texas (32776) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992189674

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameTAWAPHAN W KELLYCredential: DDS

Location Address4754 S 14TH STAbilene, TX 79605-4733

Mailing Address3773 Patriot Dr Apt 101Abilene, TX 79606-1843 · (402) 670-8963

Phone(325) 480-1524

Sole ProprietorNo

Enumeration DateJuly 13, 2015

Last NPPES UpdateApril 19, 20172 updates tracked since enumeration

✔ NPI 1992189674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 32776

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License 7214 (NE)

4754 S 14TH ST, Abilene, TX 79605

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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)

Tawaphan W 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 79605 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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 2

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

NORTH MESA DENTAL, PC

Dentist (General Practice)

4754 S 14TH ST
ABILENE, TX 79605

Taylor County (800) 920-9947

RICHARD P JOHNSEN DMD

Dentist (Orthodontics and Dentofacial Orthopedics)

4754 S 14TH ST
ABILENE, TX 79605

Taylor County (325) 777-0110

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 Tawaphan Kelly's NPI number?

The NPI number for Tawaphan Kelly is 1992189674. It was assigned to this individual provider in the NPPES registry on July 13, 2015.

Where is Tawaphan Kelly located?

Tawaphan Kelly practices at 4754 S 14th St, Abilene, TX 79605. The listed phone number is (325) 480-1524.

What is Tawaphan Kelly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Tawaphan Kelly enrolled in Medicare?

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

What insurance does Tawaphan Kelly accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 18 other insurers list Tawaphan 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 Tawaphan Kelly was last updated on April 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.