Kelly a. Silva, DDS, PC

Primary specialty

DentistTaxonomy code 122300000X

License

D3897 Issued in ID

Legal business name

KELLY A. SILVA, DDS, PC

Practice address

132 S 2ND St
Saint Maries, ID 83861-2209

Phone

(120) 824-5391

Fax

(120) 824-5551

NPI assigned

Jan 17, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kelly A Silva, DDSNPI 1134138837

Title

President

Phone

(208) 245-3912

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly A Silva, D.D.S.

  • General Practice Dentistry
  • St Maries, ID
  • NPI 1134138837
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1023356540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 S 2ND ST",
            "city": "SAINT MARIES",
            "state": "ID",
            "postal_code": "838612209",
            "telephone_number": "120-824-5391",
            "fax_number": "120-824-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 S 2ND ST",
            "city": "SAINT MARIES",
            "state": "ID",
            "postal_code": "838612209",
            "telephone_number": "120-824-5391",
            "fax_number": "120-824-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY A. SILVA, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-245-3912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ID",
            "license": "D3897",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Monica Leigh Kraack, ATC, LAT
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• Michael J Lape, LCSW
• Renee Legan, RD, LD

• Dentist in Saint Maries, ID
• Providers in Saint Maries, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.