Kelsey Peterson, DMD
NPI 1396069712ActiveIndividual· Dentist, General Practice· Emmett, ID
Dentist, General Practice (DMD) in Emmett, Idaho, licensed in ID, with an NPI issued in March 2010. Ultradent Products Inc was the largest of 3 companies reporting payments in 2025, $1,335 in all, mostly gifts.
Overview
| NPI | 1396069712 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | Yes |
| NPI issued | Mar 15, 2010 |
| Last updated in NPPES | Feb 13, 2024 |
| Certified by provider | Feb 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | D-4282 | ID |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | D-4282-OR | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
- 2025$1,335 · 13 payments from 3 companies
- 2024$1,079 · 11 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ultradent Products Inc | $1,305 | 11 |
| American Orthodontics Corporation | $21.00 | 1 |
| Align Technology, Inc. | $8.76 | 1 |
What the 2025 payments were for
- Gift$1,305 · 11 payments
- Food and Beverage$29.76 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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