Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kip Nielsen, DMD

Individual provider Dentist · NPI 1649646795

Kip Nielsen, DMD is a Dentist in Suprise, Arizona. Licensed in Arizona and Washington. Registered with an NPI since 2015.

Licensed in
AZ, WA
In the registry since
2015
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

17061 N Avenue Of The Arts Ste 101
Suprise, AZ 85378
Phone: (623) 246-5025
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D009895 (AZ)
Dentist Taxonomy 122300000X · Licence DE60590085 (WA)

Record details

NPI number1649646795
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 12, 2015
Last updated in NPPESFebruary 18, 2022
Certification dateFebruary 18, 2022