Kelly Bosworth, DDS, Inc
NPI 1518125160ActiveOrganization· Dentist, General Practice· Excelsior, MN
Dentist, General Practice in Excelsior, Minnesota, registered in NPPES in May 2008. The authorized official on file is Keriann German, Financial Coordinator.
Overview
| NPI | 1518125160 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 30, 2008 |
| Last updated in NPPES | May 30, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 9311 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
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