NPI age
19 years
Enumerated 2006-09-26
● Active Type 2 · Organization
Kirby Clendenon DDS
Kirby Clendenon DDS is 1 of 1099 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Clendenon
President
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 1099 active dentist providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1711 S 10th Ave
Caldwell, ID 836054839
Mailing address
1711 S 10th Ave
Caldwell, ID 836054839
Authorized official
Kirby L Clendenon, DDS
President
📞 2084549217
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Kirby Clendenon, DDS Dentist NPI 1942311196
Specialties
-
Dentist PrimaryA general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 839559 | UNITED CONCORDIA |
| 01 (ID) | 69096 | B/C OF ID |
Practice context
Multi-provider organization. 1 individual provider 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.