DR. KELLY MICHAEL HUSTON D.D.S.
NPI 1003171497
Dentist - General Practice in Ottumwa, IA
NPI Status: Active since July 11, 2012
- Individual
- Male
- Dentist
- General Practice
- Accepts Insurance
- Opted-Out Medicare
About KELLY HUSTON
This page provides the complete NPI Profile along with additional information for Kelly Huston, a provider established in Ottumwa, Iowa with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1003171497 assigned on July 2012. The practitioner's primary taxonomy code is 1223G0001X with license number 08922 (IA). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1003171497
- Provider Name
- DR. KELLY MICHAEL HUSTON D.D.S.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 415 E MAIN ST OTTUMWA, IA 52501
- Location Phone
- (641) 684-0215
- Mailing Address
- 322 E PARK AVE APT 2 OTTUMWA, IA 52501
- Mailing Phone
- (319) 610-3505
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-11-2012
- Last Update Date
- 07-11-2012
- Code Navigator
A dentist like Kelly Huston is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Kelly Huston opted out of Medicare effective on 12-29-2021 until 12-29-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- 08922
- License State
- IA
- Taxonomy Description
- A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Delta Dental PPO Plus Premier� Individual Choice - Preventive Plus - PPO
- Delta Dental PPO Plus Premier� Individual Choice - Platinum Plus - PPO
- Delta Dental PPO Plus Premier� Individual Choice -Preferred Plus - PPO
- Guardian Basics for Families and Individuals - PPO
- Guardian Essentials for Families and Individuals - PPO
- Guardian Preventive Plus for Families and Individuals - PPO
- Guardian Select for Families and Individuals - PPO
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
- Humana Dental Smart Choice Basic - PPO
- Humana Dental Smart Choice- Lite - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 12-29-2021
Opt-Out End Date: 12-29-2025
Eligible to Order and Refer? No
Reviews for DR. KELLY MICHAEL HUSTON D.D.S.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 1 | 7 | 1 | 4 | 9 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 2 | 7 | 2 | 4 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 2 + 7 + 2 + 4 + 1 + 8 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1003171497 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1770590119 | DR. JAMES DEVON ENLOE DDS Individual | Dentist (General Practice) | 415 E MAIN ST OTTUMWA, IA 52501 (641) 684-0215 |
| 1326383175 | JAMES D. ENLOE, DDS, PC Organization | Dentist | 415 E MAIN ST OTTUMWA, IA 52501 (641) 684-0215 |
| 1720782931 | DR. BRANDON JAMES ENLOE DDS Individual | Dentist (General Practice) | 415 E MAIN ST OTTUMWA, IA 52501 (641) 684-0215 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003171497, enumerated in the NPI registry as an "individual" on July 11, 2012
The provider is located at 415 E Main St Ottumwa, Ia 52501 and the phone number is (641) 684-0215
The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice
The provider might be accepting Accepts: Delta Dental of Iowa, Guardian and Humana. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
No, the provider signed an affidavit on December 29, 2021 to opt-out of the Medicare program. The provider is excluded from the Medicare program until December 29, 2025.
This NPI record was last updated on July 11, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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