Individual provider Active NPI

Kelli Steinlage, DDS

  • General Practice Dentistry
  • Oelwein, IA
National Provider Identifier
1164977567
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS-09372 Issued in IA
Practice address
228 1St Ave SE
Oelwein, IA 50662-2403
Phone
(319) 283-4981
NPI assigned
Aug 16, 2016
Last updated
Dec 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 61209 KS
General Practice Dentistry 1223G0001X DDS-09372 IA Primary

Addresses

Primary practice location

228 1St Ave SE
Oelwein, IA 50662-2403

Mailing address

2838 N. Oliver St.
Wichita, KS 67220
Phone (641) 229-7397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20230707000894 IA Practitioner - Dentist 5698134765 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61209KSMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Dental Care PC Dentist CurrentSince Jun 1, 2023 Accepting new patients
Berryman Family Dentistry, Inc. Dentist PastSince Dec 22, 2019 Accepting new patients

Locations

400 Locust St
Ste 400
Des Moines, IA 50309
Phone (515) 664-2681

8500 W 110th St
Ste 450
Overland Park, KS 66210
Phone (888) 674-1211

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1164977567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2838 N. OLIVER ST.",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67220",
            "telephone_number": "641-229-7397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 1ST AVE SE",
            "city": "OELWEIN",
            "state": "IA",
            "postal_code": "506622403",
            "telephone_number": "319-283-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINLAGE",
        "first_name": "KELLI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61209",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-09372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oelwein, IA

Sources for this page

Verify at the official NPI Registry.