Kelly Ingraham
Kelly Ingraham is a provider specialising in Prosthodontics in Rochester, MN, registered under NPI 1629606199. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 200 1ST ST SW, Rochester, MN 55905. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| D14374 | MN | Prosthodontics primary |
| D14374 | MN | Oral and Maxillofacial Surgery (Dentist) |
This provider holds licence D14374 issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Prosthodontics
- PAC ID
- 7719303056
- Enrollment ID
- I20200817002537
Medicare enrolment is recorded as approved under the provider type Practitioner - Prosthodontics. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Prosthodontics covers
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. NUCC Health Care Provider Taxonomy, code 1223P0700X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1223P0700X | Prosthodontics Prosthodontics | D14374 | MN | primary |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) Oral and Maxillofacial Surgery | D14374 | MN |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1629606199 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 31, 2020 |
| Last updated | Jan 28, 2025 |
| Status | Active |
| Sole proprietor | No |
| Gender | Female |
| Practice address |
200 1ST ST SW Rochester, MN 55905 (507) 284-2339 |
| Mailing address |
PO BOX 860912 PROVIDER ENROLLMENT - RST Minneapolis, MN 55486 |
| Other names |
Kelly Suralik Former Legal Business Name |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 2 | 9 | 6 | 0 | 6 | 1 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 4 | 9 | 3 | 0 | 3 | 1 | 9 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.