Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467020362 Individual Practitioner Female Practitioner

Dr. Kelsie Lynn Diskin , DDS

Dentist - General Practice • Andover, KS

Professional Overview & Biography Verified Profile Summary

Dr. Kelsie Diskin, DDS is a registered healthcare professional specializing in Dentist - General Practice in Andover, KS. Practice services are available at 360 HERITAGE WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

360 Heritage Way
Suite 100

Andover, KS 67002

Telephone 3167334886
Associated Practice Facility / Clinic
🏢 Aaron A Huslig Dds Pa Facility NPI 1639816556

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Andover, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
4 Specialists

Practicing in Andover, KS (1140 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-25
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License KS 61874

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist

NUCC Taxonomy Code: 122300000X

State License KS 61874

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Aaron Huslig , DDS

Dentist - General Practice

NPI 1982744967

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location March 27, 2025

Registered at 360 HERITAGE WAY, SUITE 100, ANDOVER, KS 67002 (Tel: 3167334886)

📍
Updated Business Mailing Address March 27, 2025

Registered at 360 HERITAGE WAY, SUITE 100, ANDOVER, KS 67002 (Tel: 3167334886)

👤
Provider Name / Credentials Updated August 07, 2024

Recorded as KELSIE DISKIN, DDS

📍
Updated Practice Location September 27, 2023

Registered at 105 S ANDOVER RD STE G, ANDOVER, KS 670028046 (Tel: 3167334886)

📍
Updated Business Mailing Address September 27, 2023

Registered at 105 S ANDOVER RD STE G, ANDOVER, KS 670028046 (Tel: 3167334886)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2023

Dentist (License #61874 in KS)

NPI Profile Active June 23, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 23, 2021

Registered at 13605 W MAPLE ST STE 107, WICHITA, KS 672358753 (Tel: 3162016323)

📍
Updated Business Mailing Address June 23, 2021

Registered at 13605 W MAPLE ST STE 107, WICHITA, KS 672358753 (Tel: 3162016323)

👤
Provider Name / Credentials Updated June 23, 2021

Recorded as KELSIE JACK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2021

Dentist (License #61874 in KS)

🟢
Initial NPI Registration & Enumeration June 16, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467020362
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2021
Last Update: March 27, 2025
Sole Proprietor: No

Mailing Address

360 Heritage Way, Suite 100

Andover, KS 67002

Phone: 3167334886

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.