Kelly E Carlen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D3271 Issued in ID

Practice address

6037 Bessinger St
Fort Sill, OK 73503-4406

Phone

(580) 442-6106

NPI assigned

Aug 17, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1053503573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6037 BESSINGER ST",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735034406",
            "telephone_number": "580-442-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6037 BESSINGER ST",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735034406",
            "telephone_number": "580-442-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLEN",
        "first_name": "KELLY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-17",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D3271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806140700",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jarom R Burbank, DDS
• Brenda D Bustillos, MS, RD, LD
• Stephen Michael Byrne, DDS
• Michelle R Cannon, MS, LPC
• Candace Carle, LCSW
• Edwin Carns Jr., MD
• Patti Yvonne Chaney, RN
• Bethany Lynne Chappell, DPT
• Kalyan Chattopadhyay, MD
• Nicole Chen, APRN

• Dentist in Fort Sill, OK
• Providers in Fort Sill, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.