Ketti Boller, D.D.S, M.S
NPI 1255682662 · Orthodontics and Dentofacial Orthopedics Dentistry · Crown Point, IN
Enrolled with Medicare as Practitioner - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ketti Boller, D.D.S, M.S is a Orthodontics and Dentofacial Orthopedics Dentistry provider in Crown Point, IN (NPI 1255682662).
Provider details
- NPI number
- 1255682662
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- D.D.S, M.S
- Sex
- Female
- Sole proprietor
- Yes
- License
- 12014618A (IN)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
13 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$102 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 275 Joliet St Ste 260Dyer, IN 46311-1798Phone: (219) 322-7645
Registry dates
- Enumerated
- 2012-09-25
- Last updated
- 2025-04-17
- Certified
- 2025-04-17
Frequently asked questions
- What is Ketti Boller's NPI number?
- Ketti Boller's National Provider Identifier (NPI) is 1255682662, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ketti Boller's specialty?
- Ketti Boller is listed in the NPPES registry with a primary specialty of Orthodontics and Dentofacial Orthopedics Dentistry (Dental Providers).
- Where is Ketti Boller located?
- Ketti Boller's practice location on file with NPPES is 123 N Main St Ste 101, Crown Point, IN 46307-4077.
- What is Ketti Boller's phone number?
- The practice phone number listed in the NPPES registry for Ketti Boller is (219) 663-2000.
- Does Ketti Boller accept Medicare?
- Ketti Boller is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ketti Boller's NPI active?
- Yes — Ketti Boller's NPI (1255682662) is active in the NPPES registry as of the last update on 2025-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.