Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033280136 Individual Practitioner Male Practitioner

Dr. Ryan T Kidman , DDS

Dentist - General Practice • Idaho Falls, ID

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Kidman, DDS is a registered healthcare professional specializing in Dentist - General Practice in Idaho Falls, ID. Practice services are available at 139 ALTURAS ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

139 Alturas St

Idaho Falls, ID 834014309

Telephone 2085235090
Fax 2088950583

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Idaho Falls, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
68 Specialists

Practicing in Idaho Falls, 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

CMS Verified: 2023-06-07
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ID D4006

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

Medicaid State Provider ID
807576700 (ID)

Practice Associates & Co-Workers

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

7 Associated Practitioners
Dr. Marivin Oto , DDS

Dentist - General Practice

NPI 1023189131

Doctor of Dental Surgery

Dr. Julie Hess , DMD

Dentist - General Practice

NPI 1053482158

Doctor of Dental Medicine

NPI 1083802268

Doctor of Dental Surgery

NPI 1144339326

Doctor of Dental Surgery

Dr. Robert Hendricks , DDS

Dentist - General Practice

NPI 1598836694

Doctor of Dental Surgery

Dr. John Adams , DDS

Dentist - General Practice

NPI 1760553879

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 07, 2023

Registered at 139 ALTURAS ST, IDAHO FALLS, ID 834014309 (Tel: 2085235090)

📍
Updated Business Mailing Address June 07, 2023

Registered at 139 ALTURAS ST, IDAHO FALLS, ID 834014309 (Tel: 2085235090)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 317 W CHERRY LN, MERIDIAN, ID 836421608 (Tel: 2088882055)

📍
Updated Business Mailing Address July 09, 2007

Registered at 317 W CHERRY LN, MERIDIAN, ID 836421608 (Tel: 2088882055)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as RYAN KIDMAN, DDS

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

Dentist (License #D4006 in ID)

🟢
Initial NPI Registration & Enumeration November 11, 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: 1033280136
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 11, 2006
Last Update: June 07, 2023
Sole Proprietor: Yes

Mailing Address

139 Alturas St

Idaho Falls, ID 834014309

Phone: 2085235090

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.