Kip Nielsen, DMD is a
Dentist based in Suprise, Arizona. Kip Nielsen is licensed to practice in Arizona (license number D009895) and his current practice location is
17061 N Avenue Of The Arts, Ste 101, Suprise, Arizona. He can be reached at his office (for appointments etc.) via phone at
(623) 246-5025.
NPI number for Kip Nielsen is 1649646795 and his current mailing address is 3658 E Elmwood St, Mesa, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649646795.
Healthcare Provider's Profile
| Full Name | Kip Nielsen |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 17061 N Avenue Of The Arts, Suprise, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1649646795
- Provider Enumeration Date: 08/12/2015
- Last Update Date: 02/18/2022
Medical Identifiers
Medical identifiers for Kip Nielsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649646795 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DE60590085 (Washington) | Secondary |
| 122300000X | Dentist | D009895 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kip Nielsen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kip Nielsen, DMD
3658 E Elmwood St,
Mesa, AZ 85205-5165
Ph: () - | Kip Nielsen, DMD
17061 N Avenue Of The Arts, Ste 101,
Suprise, AZ 85378
Ph: (623) 246-5025 |
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