P Praxis·MD
● Active Type 1 · Individual

DR. Kirt Bruce Hillam, DDS

Dentist·Idaho Falls, ID· NPI 1144339326 · Enumerated 2006 · 19 years on NPI
Hillam is 1 of 38 dentist providers in Idaho Falls and 1 of 591 in Idaho.
NPI age
19 years
Enumerated 2006-08-30
Primary specialty
Dentist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 591 active dentist providers in Idaho.

NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
139 Alturas St
Idaho Falls, ID 834014309
📞 2085235090fax 2085235094
Mailing address
139 Alturas St
Idaho Falls, ID 834014309
📞 2085235090fax 2085235094

Specialties

  • Dentist Primary
    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...
    ID license #D-2033 taxonomy 122300000X

Identifiers

TypeValueNotes
01 469586 UNITED CONCORDIA

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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