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Active NPI 1316477094 Individual Practitioner Female Practitioner

Dr. Kelsey Dever , DDS

Dentist - General Practice • Davenport, IA

Professional Overview & Biography Verified Profile Summary

Dr. Kelsey Dever, DDS is a registered healthcare professional specializing in Dentist - General Practice in Davenport, IA. Practice services are available at 125 SCOTT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

125 Scott St

Davenport, IA 528011130

Telephone 5633363000
Fax 5633363229
Associated Practice Facility / Clinic
🏢 Community Health Care, Inc. Facility NPI 1598759029

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Davenport, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
54 Specialists

Practicing in Davenport, IA (1303 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-11-13
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IA 09389

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License IL 019031251

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Il Dental
019031251 (IL)
Commercial Insurance / Payer ID Iowa Dental License
DDS-09389 (IA)

Secondary Practice Locations

500 W River Dr

Davenport, IA 528011014

Phone: 5633363000

925 S 4th St

Clinton, IA 527325726

Phone: 5633363000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Stephanie Witherow , FNP

Nurse Practitioner - Family

NPI 1003224585

Family Nurse Practitioner

Courtney Legendre , FNP

Nurse Practitioner - Family

NPI 1003956871

Family Nurse Practitioner

Dr. Kylie Resnick , DDS

Dentist - General Practice

NPI 1023900941

Doctor of Dental Surgery

Dr. John Leno , MD FACOG

Obstetrics & Gynecology

NPI 1043216286

MDFACOG

NPI 1053305003

Doctor of Medicine (M.D.)

Carrie Braet , PNP

Nurse Practitioner - Pediatrics

NPI 1073999868

Pediatric Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
👤
Provider Name / Credentials Updated November 13, 2023

Recorded as KELSEY DEVER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2023

Dentist (License #019031251 in IL)

NPI Profile Active June 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2017

Registered at 125 SCOTT ST, DAVENPORT, IA 528011130 (Tel: 5633363000)

📍
Updated Business Mailing Address June 15, 2017

Registered at 500 W RIVER DR, DAVENPORT, IA 528011014 (Tel: 5633363000)

👤
Provider Name / Credentials Updated June 15, 2017

Recorded as KELSEY BIITTNER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2017

Dentist (License #09389 in IA)

🟢
Initial NPI Registration & Enumeration June 15, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316477094
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2017
Last Update: November 13, 2023
Sole Proprietor: No

Mailing Address

500 W River Dr

Davenport, IA 528011014

Phone: 5633363000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.