Steven William Kellett, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

12012106A Issued in IN

Practice address

190 C St NW
Linton, IN 47441-1328

Phone

(812) 847-8646

NPI assigned

May 21, 2014

Last updated

Dec 18, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Practice roles

Locations

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.

• Shakamak Family Dentistry, LLC

  • General Practice Dentistry
  • Jasonville, IN
  • NPI 1568992022
  NPD Authorized official
• Steven W Kellett

  dba Linton Family Dentistry, LLC

  • Dental Clinic/Center
  • Linton, IN
  • NPI 1497416366
  NPD (past) Authorized official

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639785600000",
    "number": "1104238526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 C ST NW",
            "city": "LINTON",
            "state": "IN",
            "postal_code": "474411328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 C ST NW",
            "city": "LINTON",
            "state": "IN",
            "postal_code": "474411328",
            "telephone_number": "812-847-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLETT",
        "first_name": "STEVEN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-21",
        "last_updated": "2021-12-18",
        "certification_date": "2021-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012106A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Investigative Discoveries LLC
• Rebecca Denise Jackson, FNP,CNM
• Anthony Keith Jensen, RPH
• Molly B Johnson, MS, OTR/L
• Andrew W Jones, OD
• Minsun Kim, NP
• Kirkling Chiropractic Center
• David D. Kirkling, D.C.
• Terri S. Klingelhoefer, MSW
• Shelby Lafon

• Dentist in Linton, IN
• Providers in Linton, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2021; 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.