IndividualActive
Jerry Mitchell, D.D.S.
NPI 1932289204 · General Practice Dentistry · Ketchum, ID
Jerry Mitchell, D.D.S. is a General Practice Dentistry provider in Ketchum, ID (NPI 1932289204).
Provider details
- NPI number
- 1932289204
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- DE00005295 (WA)
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
620 First Ave N
Ketchum, ID 83340-0000
Phone: (208) 720-7368
Street-level locationGet directions
Mailing address
Po Box 4378
Ketchum, ID 83340-0000
Registry dates
- Enumerated
- 2006-10-17
- Last updated
- 2012-12-13
Frequently asked questions
- What is Jerry Mitchell's NPI number?
- Jerry Mitchell's National Provider Identifier (NPI) is 1932289204, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Mitchell's specialty?
- Jerry Mitchell is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jerry Mitchell located?
- Jerry Mitchell's practice location on file with NPPES is 620 First Ave N, Ketchum, ID 83340-0000.
- What is Jerry Mitchell's phone number?
- The practice phone number listed in the NPPES registry for Jerry Mitchell is (208) 720-7368.
- Is Jerry Mitchell's NPI active?
- Yes — Jerry Mitchell's NPI (1932289204) is active in the NPPES registry as of the last update on 2012-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.