Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053354258 Individual Practitioner Male Practitioner

Dr. Kristopher John Kelly , DDS

Dentist - General Practice • Kyle, SD

Professional Overview & Biography Verified Profile Summary

Dr. Kristopher Kelly, DDS is a registered healthcare professional specializing in Dentist - General Practice in Kyle, SD. Practice services are available at 1000 HEALTH CENTER ROAD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1000 Health Center Road

Kyle, SD 577520540

Telephone 6054558025
Fax 6054551529
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kyle, SD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Kyle, SD (333 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 IA 6484

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

12 Associated Practitioners
Jeanette Amiotte , REGISTERED NURSE

Registered Nurse - Ambulatory Care

NPI 1225588734

REGISTEREDNURSE

Diane Reeves , PA-C

Physician Assistant

NPI 1427165836

Physician Assistant (Certified)

Christina Ferguson , FNP-C

Nurse Practitioner

NPI 1427473164

Family Nurse Practitioner (Certified)

NPI 1437466307

Doctor of Pharmacy (Pharm.D.)

Emmaline Elk , RN

Registered Nurse

NPI 1538534052

Registered Nurse

NPI 1679580872

PHYSICIANASSISTANT

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 28, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 28, 2016

Registered at 1000 HEALTH CENTER ROAD, KYLE, SD 577520540 (Tel: 6054558025)

📍
Updated Business Mailing Address December 28, 2016

Registered at 1000 HEALTH CENTER ROAD, KYLE, SD 577520540 (Tel: 6054558025)

👤
Provider Name / Credentials Updated December 28, 2016

Recorded as KRISTOPHER KELLY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2016

Dentist (License #6484 in IA)

🟢
Initial NPI Registration & Enumeration June 14, 2006

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: 1053354258
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2006
Last Update: December 28, 2016
Sole Proprietor: No

Mailing Address

1000 Health Center Road

Kyle, SD 577520540

Phone: 6054558025

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.