NPPES file of Aug 9, 2026

Jack Kelly, DMD

Student in an Organized Health Care Education/Training Program · Waco, TX

Jack Kelly, DMD is a student in an organized health care education/training program with a practice address in Waco, Texas, and NPI 1679032452, issued on Mar 19, 2019. Check the license with the Texas board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1679032452
Name
Jack Kelly
Credential
DMD
Primary taxonomy
Student in an Organized Health Care Education/Training Program 390200000X
Practice location
609 Elm St, Waco, TX 76704
Phone
(254) 313-6960
Enumerated
Mar 19, 2019
Record last updated
Mar 19, 2019 (not updated in 7 years: call before relying on the address or phone)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 609 Elm St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Pan Chang, DDSStudent in an Organized Health Care Education/Training Program1407214844

Verify Jack Kelly in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Texas board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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78% fewer Medicare Part D claims than the average student in an organized health care education/training program in 2024

40 Medicare Part D claims for 34 beneficiaries, against an average of 185 among the 59,748 providers of this specialty who prescribed in Part D.

  1. Jack Kelly40
  2. Specialty average185

Most prescribed

  1. Amoxicillin21 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Jack Kelly among 17,605 student in an organized health care education/training program records in Texas

Jack Kelly, DMD is one of 17,605 student in an organized health care education/training program records with a practice address in Texas. 23% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 8% of them.

  • NPI issued2019 · 8% of these records are older, 90% newer
  • In a Medicare fileYes · 23% of these records are
  • In the CMS Doctors and Clinicians fileNo · 2% of these records are
  • Record last updated2019 · 15% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 390200000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

59 student in an organized health care education/training program records list a practice address in Waco

They are 59 of the 3,295 NPPES records with a practice address in Waco, and 17,605 student in an organized health care education/training program records in Texas.

The 8 student in an organized health care education/training program records with the nearest ZIP codes

  1. Pan Chang, DDSWaco, TX 767041407214844
  2. Madison GutierrezWaco, TX 767061336083047
  3. Asa HooverWaco, TX 767061023608346
  4. Jeron KnoxWaco, TX 767061518608983
  5. Sylvia KoelewynRobinson, TX 767061821961939
  6. Eve Chesivoir, BAWaco, TX 767011386527430
  7. Grace DennisWaco, TX 767011831072750
  8. Winona GbedeyWaco, TX 767071699461657

Common questions

What is Jack Kelly, DMD's NPI number?

Jack Kelly, DMD's National Provider Identifier (NPI) is 1679032452, issued on Mar 19, 2019. An NPI identifies a provider in billing; it is not a license.

Where is Jack Kelly, DMD located?

The NPPES record lists a practice address at 609 Elm St, Waco, TX, 76704. Phone: (254) 313-6960. Providers update this record themselves, so call before visiting.

How can I verify Jack Kelly, DMD's license?

Search the Texas board that licenses this profession; the NPPES record confirms identity only.

How much does Jack Kelly, DMD prescribe under Medicare Part D?

In 2024, Jack Kelly, DMD had 40 Medicare Part D claims for 34 beneficiaries; the average among student in an organized health care education/training program prescribers was 185. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.