Kelly Dustin, DO

ActiveIndividual ProviderFamily Medicine
NPI issued: July 4, 2006

Quick Facts

NPI Number
1114957362
TypeIndividual
StatusActive
SpecialtyFamily Medicine
Taxonomy207Q00000X — Family Medicine
Phone
(208) 881-5222
StateID

NPI Validation Status: Verified

Valid 10-digit NPI number (1114957362)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (July 4, 2006)
Data source: CMS NPPES

Provider Overview

KELLY DUSTIN, DO is a Family Medicine provider based in Rexburg, ID who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1114957362
Provider TypeIndividual Provider
GenderMale
CredentialDO
StatusActive
Enumeration DateJuly 4, 2006

Practice Location

CityRexburg
StateID
ZIP Code83440-5277
Phone(208) 881-5222

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207Q00000X
License StateID

Mailing Address

CityRexburg
StateID
ZIP Code83440-5277
Phone(208) 881-5222
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1114957362 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1114957362for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

👤

For Patients

Share NPI 1114957362 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

📊
199,317
Family Medicine Providers in the US

Similar Providers in Rexburg

Joseph Watson, MD

📍 Rexburg, ID 83440-1605

Jud Miller, MD

📍 Rexburg, ID 83460-2010

Scott Hardy, D.O

📍 Rexburg, ID 83440-1906

David Daniels, D.O

📍 Rexburg, ID 83440-1926

Community Care Pllc

📍 Rexburg, ID 83440-1926

Jeffrey Hopkin, M.D

📍 Rexburg, ID 83440-1810

Other Healthcare Providers in Rexburg

Michael Larson, MD

Orthopedic Surgery

Kevin Lee, M.D

Orthopedic Surgery

Eric Barton, DPM

Podiatry

Rosemary Brown, FNP-C

Nurse Practitioner

Upper Valley Options, Inc.

Specialty not listed

Upper Valley Resource And Counseling Center

Mental Health Counselor

People Also Ask

What is Kelly Dustin's NPI number?
Kelly Dustin's NPI number is 1114957362, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Kelly Dustin's NPI currently active?
Yes, Kelly Dustin's NPI status is Active as of the latest CMS NPPES database updates.
What does Kelly Dustin specialize in?
Kelly Dustin specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207Q00000X.
Where does Kelly Dustin practice?
Kelly Dustin practices in Rexburg, ID 83440-5277.
When was Kelly Dustin's NPI issued?
Kelly Dustin's NPI was issued on July 4, 2006.
What is Kelly Dustin's provider type?
Kelly Dustin is registered as an Individual Provider under CMS NPI Type 1.