Kelsey Peterson, DMD
General Practice Dentistry · Emmett, ID
Kelsey Peterson, DMD is a general practice dentistry with a practice address in Emmett, Idaho, and NPI 1396069712, issued on Mar 15, 2010. Check the license (Idaho D-4282, as entered in NPPES) with the Idaho board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kelsey Peterson
- Credential
- DMD
- Primary taxonomy
- General Practice Dentistry 1223G0001X
- License numbers
- D-4282 ID
D-4282-OR ID
Self-reported in NPPES; status is on the state search - Practice location
- 1312 South Washington Street, Emmett, ID 83617
- Phone
- (208) 941-6640
- Enumerated
- Mar 15, 2010
- Record last updated
- Feb 13, 2024
- Entity
- Type 1 · individual
8 nearest general practice dentistry records → All 754 in Idaho → Look up another NPI →
Verify Kelsey Peterson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Idaho board licenses this profession
Search for license D-4282Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $1,079.31
11 payments; by number, the most common kind was gift; the largest payer was Ultradent Products Inc. The 41,669 providers of this specialty with any payment received $597.01 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Kelsey Peterson among 754 general practice dentistry records in Idaho
Kelsey Peterson, DMD is one of 754 general practice dentistry records with a practice address in Idaho. 70% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 65% of them.
- NPI issued2010 · 65% of these records are older, 32% newer
- In a Medicare fileYes · 70% of these records are
- In the CMS Doctors and Clinicians fileNo · under 1% of these records are
- Record last updated2024 · 69% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223G0001X and a Idaho practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
5 general practice dentistry records list a practice address in Emmett
They are 5 of the 155 NPPES records with a practice address in Emmett, and 754 general practice dentistry records in Idaho.
All 754 in Idaho → Every provider in Emmett → General Practice Dentistry nationwide →
The 8 general practice dentistry records with the nearest ZIP codes
- Shon Rooks, D.D.S.Emmett, ID 836171376592337
- Darren Wallace, D.M.D.Emmett, ID 836171841305646
- Andrea Wallace, D.M.D.Emmett, ID 836171871608604
- Warren Willis, D.M.DEmmett, ID 836171568535011
- Colton Charles, DMDEagle, ID 836161073826772
- George Chen, DDSEagle, ID 836161154449163
- Joel Courtial, DDSEagle, ID 836161124193123
- Josh Crank, D.M.D.Eagle, ID 836161992188353
Common questions
What is Kelsey Peterson, DMD's NPI number?
Kelsey Peterson, DMD's National Provider Identifier (NPI) is 1396069712, issued on Mar 15, 2010. An NPI identifies a provider in billing; it is not a license.
Where is Kelsey Peterson, DMD located?
The NPPES record lists a practice address at 1312 South Washington Street, Emmett, ID, 83617. Phone: (208) 941-6640. Providers update this record themselves, so call before visiting.
How can I verify Kelsey Peterson, DMD's license?
NPPES lists Idaho license number D-4282, as entered by the provider. Search the Idaho board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.