NPI age
12 years
Enumerated 2014-01-13
● Active Type 2 · Organization
Whitewater Oral Surgery Group Pllc
Whitewater Oral Surgery Group Pllc is 1 of 64 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kempers
Owner
Last NPPES update
2020-09-04
Source: monthly bulk 2026-05
How this organization compares
Across 64 active dentist providers in Idaho.
NPI age
12 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-01Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
3003 W Main St Ste 130
Boise, ID 837022026
Mailing address
3003 W Main St Ste 130
Boise, ID 837022026
Authorized official
Kevin Glenn Kempers, MD, DDS
Owner
📞 2083427610
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Justin Hastings, DDS, MD Oral & Maxillofacial Surgery NPI 1831496843
- Kevin Kempers, DDS, MD Dentist NPI 1255435459
- Christopher Manis, DMD Oral & Maxillofacial Surgery NPI 1770945479
- Devan Munk, DMD Dentist NPI 1255968053
- Eric Nelson, MD, DDS Dentist NPI 1376593640
Specialties
-
Dentist PrimaryThe specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 805496900 | |
| 05 (ID) | 805511300 |
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.