Greg Alan Kelley, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6381 Issued in KS

Practice address

109 W Main St
Independence, KS 67301-3510

Phone

(620) 331-3180

Fax

(620) 331-3170

NPI assigned

Aug 2, 2005

Last updated

Jul 13, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in KS

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

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.

• Grant M Webster DMD Family Dentistry LLC

  • Dental Clinic/Center
  • Independence, KS
  • NPI 1568086866
  NPD (past)

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629079470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W MAIN ST",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673013510",
            "telephone_number": "620-331-3180",
            "fax_number": "620-331-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W MAIN ST",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673013510",
            "telephone_number": "620-331-3180",
            "fax_number": "620-331-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "GREG",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "6381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremiah B Johnson, D.C.
• Valerie J Jones, PT
• Erin L. Kaminska
• Gena Lynn Kastler
• Caleb James Katsbulas, LMSW
• Sarah Leigh Kelley, O.D.
• Sacia Diane Kelsey, LMSW
• Kimberly Kennedy, LCPC
• Serena Kill
• Adam Marshall King, LMSW

• General Practice Dentistry in Independence, KS
• Providers in Independence, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.