P Praxis·MD
● Active Type 2 · Organization

Kyle James Siemen, D.m.d., P.A.

Dentist·Pocatello, ID· NPI 1285044529 · Enumerated 2014 · 12 years on NPI
Kyle James Siemen, D.m.d., P.A. is 1 of 591 dentist organizations in Idaho.
NPI age
12 years
Enumerated 2014-05-07
Primary specialty
Dentist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Siemen
Dentist/president
Last NPPES update
2014-05-07
Source: monthly bulk 2026-05

How this organization compares

Across 591 active dentist providers in Idaho.

NPI age
12 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 17% of peers with subspecialties

NPI lifetime · 2014 → 2026

2014-05Enumerated in NPPES
2014 2026

Where they practice

Primary practice location
333 W Cedar St
Pocatello, ID 832015045
📞 2082336912fax 2082336921
Mailing address
333 W Cedar St
Pocatello, ID 832015045
📞 2082336912fax 2082336921

Authorized official

Kyle James Siemen, D.M.D
Dentist/president
📞 2082336912

Individual providers at this organization

2 individual providers on file at this primary practice address.

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 #D3403 taxonomy 122300000X
  • Durable Medical Equipment & Medical Supplies
    Definition to come...
    taxonomy 332BC3200X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Sage Dental
    Type code 3 recorded 2014-05-07

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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