NPI age
13 years
Enumerated 2012-06-11
● Active
Type 1 · Individual
DR. Trent Merrill Kelly, DDS
Kelly is 1 of 38 dentist providers in Idaho Falls and 1 of 591 in Idaho.
Primary specialty
Dentist
Licensed in
OH
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-11-29
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 591 active dentist providers in Idaho.
NPI age
13 years
↓ 3 yr below median (16 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties
NPI lifetime · 2012 → 2026
2012-06Enumerated in NPPES
2012
2026
Where they practice
Practice location
1991 W Broadway St
Idaho Falls, ID 834023041
Mailing address
1991 W Broadway St
Idaho Falls, ID 834023041
Specialties
-
Dentist PrimaryA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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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.