Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mr. Kelly B Bosworth, DDS 9311
Dentist in Shorewood, MN · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1174615306
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Registry record
Entity type Individual (Type 1)
Name Mr. Kelly B Bosworth
Credential DDS 9311
Sex Male
Practice address 24000 Hwy 7, Suite 120 Kelly Bosworth Family Dentistry, Shorewood, MN, 55331
Phone (952) 474-4123
Fax (952) 401-3482
Enumeration date Sep 28, 2006
Last updated in NPPES Jul 8, 2007
Taxonomy & licenses
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees.
About the DDS credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What is the NPI number for Kelly Bosworth?
The National Provider Identifier (NPI) for Kelly Bosworth is 1174615306, a Type 1 (individual) record in the CMS NPPES registry.
Where does Kelly Bosworth practice?
The practice location on file with NPPES is in Shorewood, MN. Providers can have multiple locations; NPPES lists the primary practice address.
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.