P Praxis·MD
● Active Type 1 · Individual

DR. Kenneth E Pattersom, DDS

Dentist·Twin Falls, ID· NPI 1588718746 · Enumerated 2007 · 19 years on NPI
Pattersom is 1 of 15 dentist providers in Twin Falls and 1 of 591 in Idaho.
NPI age
19 years
Enumerated 2007-01-23
Primary specialty
Dentist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-06-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

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 · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
1411 Fillmore St Ste 601
Twin Falls, ID 833013343
📞 2087332300fax 2087367214
Mailing address
1411 Fillmore St Ste 601
Twin Falls, ID 833013343
📞 2087332300fax 2087367214

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 #D1788 taxonomy 122300000X

Identifiers

TypeValueNotes
05 (NV) 002288154
05 (ID) 001184500

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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