KELLY B. MANSFIELD DDS PC
NPI 1487813937
Dentist - General Practice in Nampa, ID

Active since June 09, 2008
109 12TH AVE RD, NAMPA, ID 83686(208) 467-9271 Get Directions Write a Review

NPPES record last updated: June 9, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly B. Mansfield Dds Pc NPPES

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

KELLY B. MANSFIELD DDS PC (NPI 1487813937) is a healthcare organization registered as a general practice in Nampa, Idaho and active in the NPI registry since June 2008. The organization lists Kelly B Mansfield, Owner, as its authorized official.

NPPES Registry Identity

NPI1487813937
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKELLY B. MANSFIELD DDS PC
Location Address109 12TH AVE RDNampa, ID 83686-5047
Mailing Address109 12th Ave RdNampa, ID 83686-5047 · (208) 467-9271
Organization SubpartNo
Authorized OfficialKelly B MansfieldOwner · (208) 467-9271
Enumeration DateJune 9, 2008
NPI 1487813937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
109 12TH AVE RD, Nampa, ID 83686

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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
109 12TH AVE RD
NAMPA, ID 83686
Dentist
109 12TH AVE RD
NAMPA, ID 83686
Dentist (General Practice)
109 12TH AVE RD
NAMPA, ID 83686
Dentist (General Practice)
109 12TH AVE RD
NAMPA, ID 83686

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 Kelly B. Mansfield Dds PC's NPI number?

The NPI number for Kelly B. Mansfield Dds PC is 1487813937. It was assigned to this organization in the NPPES registry on June 9, 2008.

Where is Kelly B. Mansfield Dds PC located?

Kelly B. Mansfield Dds PC is located at 109 12th Ave Rd, Nampa, ID 83686. The listed phone number is (208) 467-9271.

What is Kelly B. Mansfield Dds PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly B. Mansfield Dds PC was last updated on June 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.