Dr. Kelli C. Mack , DDS
Dentist - General Practice β’ Jbsa Lackland, TX
1615 Truemper St
Jbsa Lackland, TX 782365511
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
1615 Truemper St
Jbsa Lackland, TX 782365511
NPPES lists 1 additional practice-address record in San Antonio, TX. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Dentist - General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $20.05 in 2019
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2019.
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; Medicare.gov, βDoes your provider accept Medicare as full payment?β
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.
Compared with the same specialty in Jbsa Lackland and Texas
39 active clinicians are listed under Dentist - General Practice with a practice address in Jbsa Lackland, TX (10,075 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Jbsa Lackland
0% of these 39 clinicians have the CMS telehealth indicator.
0% of these 39 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2019 only.
Sources: CMS Open Payments (2019), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· 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
Program year 2019 (payments made January 1 β December 31, 2019): fewer than 11 records totaling $20.05.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| 3M Company |
Food and Beverage
Cash or cash equivalent
|
Filtek One Bulk Fill Restorative | General | $20.05 |
Source: CMS Open Payments, program year 2019, released June 30, 2026.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-03-01NUCC Taxonomy Code: 1223G0001X
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.
NUCC Taxonomy Code: 122300000X
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
NUCC Taxonomy Code: 1223G0001X
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.
Secondary Practice Locations
3551 Rodger Brooke Dr.
San Antonio, TX 78219
Phone: 2109164141
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Dentist (license number reported to NPPES: CA 44021)
Registered at 1615 TRUEMPER ST, JBSA LACKLAND, TX 782365511 (Tel: 2105397022)
Registered at 1615 TRUEMPER ST, LACKLAND AFB, TX 782365511 (Tel: 2105397011)
Registered at 101 BODIN CIR, TRAVIS AFB, CA 945351809 (Tel: 7074237072)
Registered at 101 BODIN CIR, TRAVIS AFB, CA 945351809 (Tel: 7074237072)
NPI status registered as active in NPPES database
Registered at 1401 DESHLER ST SW, ATTN: AFRC-RMC-GMD-A, FORT MCPHERSON, GA 303301040 (Tel: 7709686319)
Registered at 9801 STONELAKE BLVD, #1031, AUSTIN, TX 787596579 (Tel: 5124611189)
Recorded as KELLI MACK, D.D.S.
Dentist (license number reported to NPPES: TX 21967)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Dentist - General Practices in Jbsa Lackland
Mailing Address
1615 Truemper St
Lackland Afb, TX 782365511
Phone: 2105397011