Active NPI
Jeffrey B Kesling, DDS
- Dentist
- Boise, ID
National Provider Identifier
1285715979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D3334
- Practice address
- 900 N. Liberty Street
Suite 304
Boise, ID 83704 - Phone
- (208) 344-2747
- Fax
- (208) 344-0196
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D3334 | ID | Primary |
| General Practice Dentistry | 1223G0001X | D3334 | ID |
Addresses
Primary practice location
900 N. Liberty Street
Suite 304
Boise, ID 83704
Mailing address
900 N. Liberty Street
Suite 304
Boise, ID 83704
Phone (208) 344-2747
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 905459 | Other | ID | UNITED CONCORDIA |
| 0001 0011493 | Other | ID | REGENCE BLUE SHIELD |
| 66688 | Other | ID | BLUE CROSS |
| 6E755 | Other | ID | FEDERAL EMPLOYEE PROGRAM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D3334 | ID | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey B. Kesling, DDS | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Boise, ID
- NPI 1962847798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325116800000",
"number": "1285715979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 N. LIBERTY STREET",
"address_2": "SUITE 304",
"city": "BOISE",
"state": "ID",
"postal_code": "83704",
"telephone_number": "208-344-2747",
"fax_number": "208-344-0196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 N. LIBERTY STREET",
"address_2": "SUITE 304",
"city": "BOISE",
"state": "ID",
"postal_code": "83704",
"telephone_number": "208-344-2747",
"fax_number": "208-344-0196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESLING",
"first_name": "JEFFREY",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2011-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ID",
"license": "D3334",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ID",
"license": "D3334",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "905459",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "0001 0011493",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "66688",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL EMPLOYEE PROGRAM",
"identifier": "6E755",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.