Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215770680 Individual Practitioner Female Practitioner

Dr. Katie Ann Kettelkamp , DDS

Dentist - General Practice • Cedar Rapids, IA

Professional Overview & Biography Verified Profile Summary

Dr. Katie Kettelkamp, DDS is a registered healthcare professional specializing in Dentist - General Practice in Cedar Rapids, IA. Practice services are available at 3730 1ST AVE NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3730 1st Ave Ne

Cedar Rapids, IA 524026106

Telephone 3193622313
Associated Practice Facility / Clinic
🏢 Lindale Dental Care Pc Facility NPI 1538240767

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Cedar Rapids, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
75 Specialists

Practicing in Cedar Rapids, 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: 2024-06-14
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IA DDS-10231

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.

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1023385150

Doctor of Dental Surgery

NPI 1306905534

Doctor of Dental Surgery

NPI 1417015991

Doctor of Dental Surgery

NPI 1467802280

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 14, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 14, 2024

Registered at 3730 1ST AVE NE, CEDAR RAPIDS, IA 524026106 (Tel: 3193622313)

📍
Updated Business Mailing Address June 14, 2024

Registered at 616 DOE AVE, TIFFIN, IA 523404763 (Tel: 5152403598)

👤
Provider Name / Credentials Updated June 14, 2024

Recorded as KATIE KETTELKAMP, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2024

Dentist (License #DDS-10231 in IA)

🟢
Initial NPI Registration & Enumeration June 14, 2024

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: 1215770680
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2024
Last Update: June 14, 2024
Sole Proprietor: No

Mailing Address

616 Doe Ave

Tiffin, IA 523404763

Phone: 5152403598

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.