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DR. KELSIE LYNN DISKIN DDS
NPI 1467020362
Dentist - General Practice in Andover, KS

Active since June 16, 2021
360 HERITAGE WAY, SUITE 100, ANDOVER, KS 67002(316) 733-4886 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 27, 2025, Aug 7, 2024, Jun 23, 2021 and 1 more (4 updates tracked since 2021).

About Dr. Kelsie Lynn Diskin Dds NPPES

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

DR. KELSIE LYNN DISKIN DDS (NPI 1467020362) is an individual general practice provider in Andover, Kansas, licensed in Kansas (61874) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1467020362
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KELSIE LYNN DISKINCredential: DDS
Location Address360 HERITAGE WAY, SUITE 100Andover, KS 67002
Mailing Address360 Heritage Way, Suite 100Andover, KS 67002 · (316) 733-4886 · Fax (316) 733-8476
Phone(316) 733-4886
Sole ProprietorNo
Enumeration DateJune 16, 2021
Last NPPES UpdateMarch 27, 20254 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
✔ NPI 1467020362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KS · 61874
Definition
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.
Also ListedDentistTaxonomy 122300000X · License 61874 (KS)
360 HERITAGE WAY, Andover, KS 67002
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Other Names 1

Former Name (1)Dr. Kelsie Lynn Jack Dds

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

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 Kelsie Diskin's NPI number?

The NPI number for Kelsie Diskin is 1467020362. It was assigned to this individual provider in the NPPES registry on June 16, 2021. The provider is also known as Dr. Kelsie Lynn Jack Dds.

Where is Kelsie Diskin located?

Kelsie Diskin practices at 360 Heritage Way Suite 100, Andover, KS 67002. The listed phone number is (316) 733-4886.

What is Kelsie Diskin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Kelsie Diskin accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Kelsie Diskin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelsie Diskin was last updated on March 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.