Individual provider Active NPI

Cameron A Kuehne, DMD, MS

  • Dentist
  • Meridian, ID
National Provider Identifier
1013145754
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D-4227 Issued in ID
Practice address
1718 S. Millennium Way
Meridian, ID 83642-1511
Phone
(208) 376-3600
Fax
(208) 376-3616
NPI assigned
Jul 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D-4227 ID Primary

Addresses

Primary practice location

1718 S. Millennium Way
Meridian, ID 83642-1511

Mailing address

1718 S. Millennium Way
Meridian, ID 83642-1511
Phone (208) 376-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, AK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090928000183 ID Practitioner - Oral Surgery 4688720071 Reassigns benefits to 1 organization
I20130529000154 AK Practitioner - Oral Surgery 4688720071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Temple University School of Medicine, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1718 S Millennium Way
Meridian, ID 83642-1511

8119 W Ustick Rd
Boise, ID 83704-5754
Phone (208) 376-3600

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Center for Sleep Apnea & TMJ Dentist CurrentSince Jun 4, 2023 Accepting new patients
The Center for Sleep Apnea and TMJ PA CurrentSince Sep 30, 2009 Accepting new patients
Alaska Neurology Center LLC CurrentSince May 14, 2018 Accepting new patients
The Center for Sleep Apnea and TMJ PA Past Accepting new patients
Craniofacial Pain Center of Idaho Past Accepting new patients

Locations

1100 E Dimond Blvd
Anchorage, AK 99515
Phone (907) 565-6000

8119 W Ustick Rd
Boise, ID 83704
Phone (208) 376-3600

8119 W Ustick Rd
Ste 103
Boise, ID 83704

1718 S Millenium Way
Meridian, ID 83642
Phone (208) 376-3600

10654 S River Heights Dr
Ste 240
South Jordan, UT 84095
Phone (208) 869-1696

6287 S Redwood Rd
Ste 101
Taylorsville, UT 84123
Phone (801) 261-9155

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1013145754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 S. MILLENNIUM WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421511",
            "telephone_number": "208-376-3600",
            "fax_number": "208-376-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 S. MILLENNIUM WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421511",
            "telephone_number": "208-376-3600",
            "fax_number": "208-376-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUEHNE",
        "first_name": "CAMERON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D-4227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.