Active NPI 1053407585 Individual Practitioner Male Practitioner

Dr. Kenneth E Richardson , DDS

Dentist - General Practice • Boise, ID

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Richardson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Boise, ID. Practice services are available at 2720 OVERLAND ROAD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2720 Overland Road

Boise, ID 83705

Telephone 2083455875

Fax 2083458412

Associated Practice Facility / Clinic

🏢 Martin T. Sachse, D.m.d., P.c. Facility NPI 1760577332

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Boise, ID

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 28.3 Yrs

Regional Practice Density

142 Specialists

Practicing in Boise, ID (781 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ID D1383

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Idaho State License

D1383 (ID)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Martin Sachse , DMD, PC

Dentist - General Practice

NPI 1790870293

Doctor of Dental Medicine, PC

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 2720 OVERLAND ROAD, BOISE, ID 83705 (Tel: 2083455875)

📍

Updated Business Mailing Address July 09, 2007

Registered at 2720 OVERLAND ROAD, BOISE, ID 83705 (Tel: 2083455875)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as KENNETH RICHARDSON, D.D.S.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #D1383 in ID)

🟢

Initial NPI Registration & Enumeration October 04, 2006

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: 1053407585

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 04, 2006

Last Update: July 09, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2720 Overland Road

Boise, ID 83705

Phone: 2083455875

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.