Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Kelly Kristine Stark , DDS

Dentist - General Practice • Minnetonka, MN

Active NPI 1629137054 Individual Practitioner Female Practitioner
Practice location in NPPES

17705 Hutchins Dr Ste 201
Minnetonka, MN 553454103

Call 9524745239 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

17705 Hutchins Dr Ste 201

Minnetonka, MN 553454103

Telephone 9524745239
Organization at the Same NPPES Address or Phone
Asp Dental, Pc Facility NPI 1235746058

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

30-day fills

23 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$72 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $608.28 across 6 records.

By nature of payment (3 largest of 4)

  • Long term medical supply or device loan: $383.33 across 1 record.
  • Education: $125.00 across 1 record.
  • Food and Beverage: $91.25 across 3 records.

Reporting-company totals

  • Align Technology, Inc.: $580.16 across 4 records.
  • Solventum Corporation: $14.44 across 1 record.
  • PATTERSON COMPANIES, INC.: $13.68 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Dr. Stark as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Minnetonka and Minnesota

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Dentist - General Practice in Minnetonka, MN (2024, 17 clinicians with data). Median for this group: 27. Middle half: 18 to 34.

Fewer Part D prescriptions than 60% of clinicians listed under Dentist - General Practice in Minnesota (2024, 886 clinicians with data). Median for this group: 30. Middle half: 19 to 58.

Part D drug cost

Close to the middle for clinicians listed under Dentist - General Practice in Minnetonka, MN (2024, 17 clinicians with data). Median for this group: $76. Middle half: $62 to $111.

A lower Part D drug cost than 65% of clinicians listed under Dentist - General Practice in Minnesota (2024, 886 clinicians with data). Median for this group: $115. Middle half: $63 to $241.

30 active clinicians are listed under Dentist - General Practice with a practice address in Minnetonka, MN (2,184 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Minnetonka

0% of these 30 clinicians have the CMS telehealth indicator.

0% of these 30 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $608.28.

Manufacturer Payment Nature Product Type Amount ($)
Align Technology, Inc.
Long term medical supply or device loan
In-kind items and services
iTero Lumina Pro Mobile Configuration General $383.33
Align Technology, Inc.
Education
Cash or cash equivalent
Invisalign General $125.00
Align Technology, Inc.
Food and Beverage
Cash or cash equivalent
Invisalign General $63.13
Solventum Corporation
Food and Beverage
Cash or cash equivalent
3M Clinpro General $14.44
PATTERSON COMPANIES, INC.
Food and Beverage
In-kind items and services
— General $13.68
Align Technology, Inc.
Gift
Cash or cash equivalent
Invisalign General $8.70

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin Amoxicillin 23 142 $72.14 20

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-01
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES MN D11805

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
323627700 (MN)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1467554709

Doctor of Dental Surgery

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
📍
Updated Practice Location August 01, 2024

Registered at 17705 HUTCHINS DR STE 201, MINNETONKA, MN 553454103 (Tel: 9524745239)

👤
Provider Name / Credentials Updated August 01, 2024

Recorded as KELLY STARK, DDS

✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) July 08, 2007

Registered at 15785 95TH AVE N, MAPLE GROVE, MN 553694404 (Tel: 7634205484)

📍
Business Mailing Address (Initial Record) July 08, 2007

Registered at 5212 LOGAN AVE S, MINNEAPOLIS, MN 554191022 (Tel: 6129229474)

👤
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as KELLY MEHTA, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (license number reported to NPPES: MN D11805)

🟢
Initial NPI Registration & Enumeration December 08, 2006

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1629137054
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 08, 2006
Last Update: August 01, 2024
Sole Proprietor: No

Other Dentist - General Practices in Minnetonka

All Dentist - General Practices in Minnetonka

Mailing Address

5212 Logan Ave S

Minneapolis, MN 554191022

Phone: 6129229474

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.