Active NPI
Kelsey Marben
- Dental Therapist
- Mankato, MN
National Provider Identifier
1861374449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Therapist
- License
- DT185
- Practice address
- 810 Independence Dr
Mankato, MN 56001-7767 - Phone
- (507) 387-3249
- NPI assigned
- Jul 23, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Therapist | 125J00000X | DT185 | MN | Primary |
Addresses
Primary practice location
810 Independence Dr
Mankato, MN 56001-7767
Mailing address
329 Tanager Path
Mankato, MN 56001-6396
Phone (507) 995-0323
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 |
|---|---|---|---|
| DT185 | MN | MD | Dental Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amanda L. Hyland D.D.S. P.a | Current | Accepting new patients |
Locations
810 Independence Dr
Mankato, MN 56001
Phone (507) 387-3249
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.
-
- Dental Clinic/Center
- Mankato, MN
- NPI 1780108209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1861374449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 TANAGER PATH",
"city": "MANKATO",
"state": "MN",
"postal_code": "560016396",
"telephone_number": "507-995-0323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 INDEPENDENCE DR",
"city": "MANKATO",
"state": "MN",
"postal_code": "560017767",
"telephone_number": "507-387-3249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARBEN",
"first_name": "KELSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-23",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "125J00000X",
"taxonomy_group": "",
"desc": "Dental Therapist",
"state": "MN",
"license": "DT185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.