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
Mailing address3658 E Elmwood St, Mesa, AZ 85205-5165