Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689710873 Individual Practitioner Male Practitioner

Dr. Derek Ryan Kaelin , DDS

Dentist - General Practice • Springfield, MO

Professional Overview & Biography Verified Profile Summary

Dr. Derek Kaelin, DDS is a registered healthcare professional specializing in Dentist - General Practice in Springfield, MO. Practice services are available at 540 W LASALLE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

540 W Lasalle St

Springfield, MO 658074712

Telephone 4178871220
Fax 4178870357
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Springfield, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
120 Specialists

Practicing in Springfield, MO (2113 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MO DEN 2003017125

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

10 Associated Practitioners
Dr. Chanin Ropka , DDS

Dentist - General Practice

NPI 1003952292

Doctor of Dental Surgery

NPI 1114339868

Doctor of Dental Surgery

Dr. Robert Adams , DDS

Dentist - General Practice

NPI 1194861377

Doctor of Dental Surgery

NPI 1215821947

Doctor of Dental Medicine

Dr. F Stanley Hall , DDS

Dentist - General Practice

NPI 1235275421

Doctor of Dental Surgery

NPI 1265175111

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 September 07, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 07, 2011

Registered at 540 W LASALLE ST, SPRINGFIELD, MO 658074712 (Tel: 4178871220)

📍
Updated Business Mailing Address September 07, 2011

Registered at 2105 W. KEARNEY, SUITE A, SPRINGFIELD, MO 65803 (Tel: 4178622468)

👤
Provider Name / Credentials Updated September 07, 2011

Recorded as DEREK KAELIN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2011

Dentist (License #DEN 2003017125 in MO)

🟢
Initial NPI Registration & Enumeration January 29, 2007

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: 1689710873
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 29, 2007
Last Update: September 07, 2011
Sole Proprietor: No

Mailing Address

2105 W. Kearney, Suite A

Springfield, MO 65803

Phone: 4178622468

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.