Kelly Kristine Stark, DDS
NPI 1629137054ActiveIndividual· Dentist, General Practice· Minnetonka, MN
Opted out of Medicare from January 2016 to January 2028. Dentist, General Practice (DDS) in Minnetonka, Minnesota, licensed in MN, with an NPI issued in December 2006. Part D covered 26 prescriptions written in 2024, 100% of them generic. Align Technology, Inc. was the largest of 3 companies reporting payments in 2025, $608.28 in all, mostly device and supply loans.
Overview
| NPI | 1629137054 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Dec 8, 2006 |
| Last updated in NPPES | Aug 1, 2024 |
| Certified by provider | Aug 1, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | D11805 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jan 27, 2016 – Jan 27, 2028 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 26 · 26 30-day fills |
|---|---|
| Patients | 23 |
| Total drug cost | $104.37 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2025$608.28 · 6 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Align Technology, Inc. | $580.16 | 4 |
| Solventum Corporation | $14.44 | 1 |
| Patterson Companies, Inc. | $13.68 | 1 |
What the 2025 payments were for
- Long term medical supply or device loan$383.33 · 1 payment
- Education$125.00 · 1 payment
- Food and Beverage$91.25 · 3 payments
- Gift$8.70 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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