Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528119377 Individual Practitioner Female Practitioner

Dr. Kelly Renee Monroe , DDS

Dentist - General Practice • Othello, WA

Professional Overview & Biography Verified Profile Summary

Dr. Kelly Monroe, DDS is a registered healthcare professional specializing in Dentist - General Practice in Othello, WA. Practice services are available at 1515 E COLUMBIA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1515 E Columbia St

Othello, WA 993441846

Telephone 5094885256
Fax 5094889939
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Othello, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
8 Specialists

Practicing in Othello, WA (3345 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: 2021-03-24
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE60776311

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

Medicaid State Provider ID
2086180 (WA)

Secondary Practice Locations

1051 Columbia Ave

Connell, WA 993268702

Phone: 5094885256

601 Government Way

Mattawa, WA 99349

Phone: 5094885256

Practice Associates & Co-Workers

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

40 Associated Practitioners
Laura Ely

Nurse Practitioner - Family

NPI 1003263872

Doctor of Dental Surgery

Mikayla Alonzo , RDH

Dental Hygienist

NPI 1003593294

Registered Dental Hygienist

Dr. Ji Choi , DDS

Dentist - General Practice

NPI 1023165065

Doctor of Dental Surgery

Dr. Randel Bunch , MD

Family Medicine

NPI 1033296637

Doctor of Medicine (M.D.)

NPI 1033768957

Doctor of Dental Surgery

Career & Practice History Timeline

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

14 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2021

Dentist (License #DE60776311 in WA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2020

Dentist (License #13374 in MD)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Dentist (License #9399 in CO)

NPI Profile Active November 16, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 16, 2017

Registered at 1515 E COLUMBIA ST, OTHELLO, WA 993441846 (Tel: 5094885256)

📍
Updated Business Mailing Address November 16, 2017

Registered at 1515 E COLUMBIA ST, OTHELLO, WA 993441846 (Tel: 5094885256)

👤
Provider Name / Credentials Updated November 16, 2017

Recorded as KELLY MONROE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2017

Dentist (License #13374 in MD)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2020 S PARKER RD UNIT F, DENVER, CO 802315724 (Tel: 3037522777)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1632 S CLAYTON ST, DENVER, CO 802102821 (Tel: 3013184304)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KELLY MONROE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #9399 in CO)

🟢
Initial NPI Registration & Enumeration January 16, 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: 1528119377
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2007
Last Update: March 24, 2021
Sole Proprietor: No

Mailing Address

1515 E Columbia St

Othello, WA 993441846

Phone: 5094885256

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.