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SMILE BURNS
NPI 1326858119
Clinic/Center - Dental in Burns, OR

Active since January 13, 2025
711 PONDEROSA VLG, BURNS, OR 97720(541) 589-4202 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Smile Burns NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SMILE BURNS (NPI 1326858119), doing business as Dr. Kelley Mingus, is a healthcare organization registered as a dental in Burns, Oregon and active in the NPI registry since January 2025. The organization maintains a secondary practice location in Bend and lists Kelley Ray Mingus, Owner, as its authorized official.

NPPES Registry Identity

NPI1326858119
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSMILE BURNS
Location Address711 PONDEROSA VLGBurns, OR 97720-2315
Mailing Address711 Ponderosa VlgBurns, OR 97720-2315 · (541) 589-4202
Phone(541) 589-4202
Organization SubpartYesParent: Dr. Kelley Mingus
Authorized OfficialKelley Ray MingusOwner · (541) 382-6565
Enumeration DateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
✔ NPI 1326858119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Also ListedDentist · General PracticeTaxonomy 1223G0001X
711 PONDEROSA VLG, Burns, OR 97720
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Other Names 1

Doing Business AsDr. Kelley Mingus

Secondary Practice Location 1

Location 1225 Scalehouse LoopBend, OR 97702-1272 · Phone (541) 382-6565 · Fax (541) 382-6776

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Smile Burns's NPI number?

The NPI number for Smile Burns is 1326858119. It was assigned to this organization in the NPPES registry on January 13, 2025. The provider is doing business as Dr. Kelley Mingus.

Where is Smile Burns located?

Smile Burns is located at 711 Ponderosa Vlg, Burns, OR 97720. The listed phone number is (541) 589-4202.

What is Smile Burns's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Smile Burns was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.