NPI age
16 years
Enumerated 2010-03-15
● Active
Type 1 · Individual
Kelsey Peterson, DMD
Peterson is 1 of 9 dentist providers in Emmett and 1 of 1099 in Idaho.
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-02-13
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1099 active dentist providers in Idaho.
NPI age
16 years
↓ 2 yr below median (18 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
1
In the 12% of peers with subspecialties
NPI lifetime · 2010 → 2026
2010-03Enumerated in NPPES
2010
2026
Where they practice
Practice location
1312 South Washington Street
Emmett, ID 83617
Mailing address
1312 S Washington Ave Ste C
Emmett, ID 836173596
Specialties
-
Dentist PrimaryA 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.
-
DentistThat area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 1 new dentist provider has been added in Emmett in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.