P Praxis·MD
● Active Type 1 · Individual

DR. Matthew L Kooyman, DDS

Dentist·Meridian, ID· NPI 1699782854 · Enumerated 2006 · 19 years on NPI
Kooyman is 1 of 105 dentist providers in Meridian and 1 of 1099 in Idaho.
NPI age
19 years
Enumerated 2006-08-01
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
ID, IL
2 states
Status
Active
No deactivations on record
Last NPPES update
2015-11-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1099 active dentist providers in Idaho.

NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 92% — 7% of peers are multi-state
Subspecialties
1
In the 12% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
1500 W Cayuse Creek Dr Ste 100
Meridian, ID 836464757
📞 5088848858fax 2088848915
Mailing address
1500 W Cayuse Creek Dr Ste 100
Meridian, ID 836464757
📞 2088848858fax 2088848915

Specialties

  • Dentist Primary
    A 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.
    ID license #D-3565 taxonomy 1223G0001X
  • Dentist
    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...
    IL license #D-3565 taxonomy 122300000X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 1099 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

  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.

Related