IndividualActive
Jess Kelly, D.D.S., M.S.
NPI 1063584563 · Endodontics · Mankato, MN
Jess Kelly, D.D.S., M.S. is a Endodontics provider in Mankato, MN (NPI 1063584563).
Provider details
- NPI number
- 1063584563
- Entity type
- Individual
- Primary specialty
- EndodonticsDental Providers
- Credential
- D.D.S., M.S.
- Sex
- Male
- Sole proprietor
- No
- License
- D11639 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1570 Adams St
Mankato, MN 56001-5192
Phone: (507) 386-0288
Street-level locationGet directions
Mailing address
1759 Orchid Dr N
North Mankato, MN 56003-1431
Registry dates
- Enumerated
- 2006-11-14
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jess Kelly's NPI number?
- Jess Kelly's National Provider Identifier (NPI) is 1063584563, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jess Kelly's specialty?
- Jess Kelly is listed in the NPPES registry with a primary specialty of Endodontics (Dental Providers).
- Where is Jess Kelly located?
- Jess Kelly's practice location on file with NPPES is 1570 Adams St, Mankato, MN 56001-5192.
- What is Jess Kelly's phone number?
- The practice phone number listed in the NPPES registry for Jess Kelly is (507) 386-0288.
- Is Jess Kelly's NPI active?
- Yes — Jess Kelly's NPI (1063584563) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.