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Deactivated NPI 1437141082 Deactivated / Inactive NPI Male Practitioner

Dr. Brian Jeffery Kovanda , DMD

Dentist • Meridian, ID

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Brian Kovanda has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 19, 2005
NPI Deactivation Date March 25, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Brian Kovanda, DMD was a registered Dentist practicing in Meridian, ID. Throughout an active medical career spanning 1 years, Dr. Kovanda provided care at the practice location at 3200 N LESLIE WAY STE 110 until profile deactivation on 2006-03-25.

Practice Location & Contact Primary Location

Practice Address

3200 N Leslie Way Ste 110

Meridian, ID 836465362

Telephone 2083220024
Fax 2083755721
Associated Practice Facility / Clinic
🏢 Signature Smiles Facility NPI 1598144198

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Meridian, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
43 Specialists

Practicing in Meridian, ID (448 Statewide)

Telehealth Adoption Rate
2.3% 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: 2023-12-11
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License ID D5109

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Scott Wright , DDS

Dentist - General Practice

NPI 1730197690

Doctor of Dental Surgery

NPI 1821180944

Doctor of Dental Surgery

Career & Practice History Timeline

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

10 Historical Events
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Updated Practice Location December 11, 2023

Registered at 3200 N LESLIE WAY STE 110, MERIDIAN, ID 836465362 (Tel: 2083220024)

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Updated Business Mailing Address December 11, 2023

Registered at 3200 N LESLIE WAY STE 110, MERIDIAN, ID 836465362 (Tel: 2083220024)

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2023

Dentist (License #D5109 in ID)

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Updated Practice Location July 08, 2007

Registered at 5880 NE CORNELL RD, HILLSBORO, OR 971249075 (Tel: 5036489772)

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Updated Business Mailing Address July 08, 2007

Registered at 5880 NE CORNELL RD, HILLSBORO, OR 971249075 (Tel: 5036489772)

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Provider Name / Credentials Updated July 08, 2007

Recorded as BRIAN KOVANDA, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #002516 in OR)

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NPI Profile Reactivated April 03, 2006

Record officially reactivated for active practice on April 03, 2006

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NPI Profile Deactivated March 25, 2006

Record deactivated on March 25, 2006

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Initial NPI Registration & Enumeration August 19, 2005

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: 1437141082
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2005
Last Update: December 11, 2023
Deactivation Date: March 25, 2006
Sole Proprietor: Yes

Mailing Address

3200 N Leslie Way Ste 110

Meridian, ID 836465362

Phone: 2083220024

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.