Kelcie Louise Barnts, DDS

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

39880 Issued in TX

Practice address

4514 Cole Ave Ste 930
Dallas, TX 75205-4183

Phone

(556) 725-7288

Fax

(214) 666-5314

NPI assigned

Aug 25, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 21, 2025 through Nov 21, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Katherine D Sanchez DDS Inc

  dba Tracy Center for Dentistry

  • Dentist
  • Tracy, CA
  • NPI 1811061641
  NPD (past)
• Temple Faculty Practice Plan Inc

  dba Temple Faculty Dermatology Associates

  • Dermatology Physician
  • Philadelphia, PA
  • NPI 1285116228
  NPD (past)

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1093021362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4514 COLE AVE STE 930",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752054183",
            "telephone_number": "855-672-5728",
            "fax_number": "214-666-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4514 COLE AVE STE 930",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752054183",
            "telephone_number": "556-725-7288",
            "fax_number": "214-666-5314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "651 Cross Timbers Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "750281300",
            "country_code": "US",
            "telephone_number": "855-672-5728",
            "fax_number": "214-666-5314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2440 N Josey Ln Ste 202",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750061699",
            "country_code": "US",
            "telephone_number": "855-672-5728",
            "fax_number": "214-666-5314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNTS",
        "first_name": "KELCIE",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-25",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59612",
            "primary": false
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "PA",
            "license": "DS043346",
            "primary": false
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "TX",
            "license": "39880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Shay Barnette, CRNA
• Alexander Barney
• Elisabeth Creasman Barnhart, DDS
• James Alan Barnhart, MD
• Nicole Barnhart
• Christen Barnum-Bishop, LPC-ASSOCIATE
• Glynnis Joan Barot
• Bettina Annette Barr, MD
• Brooke Ashton Barr, DNP, APRN, CPNP-PC
• John D Barr, MD

• Oral and Maxillofacial Pathology Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• Oral and Maxillofacial Pathology Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.