NPI age
19 years
Enumerated 2007-01-18
● Active
Type 1 · Individual
DR. Timothy Walter Penberthy, D.D.S.
Penberthy is 1 of 3 dentist providers in Coeur D Alene and 1 of 48 in Idaho.
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 48 active dentist providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
18% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Practice location
509 W Hanley Ave, Suite # 2
Coeur D Alene, ID 838158994
Mailing address
509 W Hanley Ave, Suite # 2
Coeur D Alene, ID 838158994
Specialties
-
Dentist PrimaryThe branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the...
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 48 Dentist providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.