Signature Idaho Dental Partners PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SIGNATURE IDAHO DENTAL PARTNERS PC

Practice address

1500 W Cayuse Creek Dr Ste 100
Meridian, ID 83646-4757

Phone

(208) 893-5435

NPI assigned

Aug 5, 2022

Organization subpart

Yes

Parent organization

SIGNATURE DENTAL PARTNERS LLCAs reported in NPPES

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

Authorized official

Name

Melody Bennion

Title

Director of Integrations

Phone

(480) 234-8490

Specialties & licenses 1

Addresses

Other names 4

• Canyon Gate Cosmetic & Family Dentistry Doing business as
• Coeur d'Alene Family Dentistry Doing business as
• Linder Road Family & Cosmetic Dentistry Doing business as
• Roberts & Hall Dentistry Doing business as

Part of

Signature Dental Partners LLC

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Allen Adams, DDS

  • General Practice Dentistry
  • Twin Falls, ID
  • NPI 1457363814
  NPD (past)
• Steven Thomas Gatten, D.D.S.

  • General Practice Dentistry
  • Coeur D Alene, ID
  • NPI 1811081276
  NPD (past)
• Kevin William Hall, D.D.S.

  • General Practice Dentistry
  • Twin Falls, ID
  • NPI 1144323007
  NPD (past)
• Payton Hyde, RDH

  • Dental Hygienist
  • Twin Falls, ID
  • NPI 1174286660
  NPD (past)
• John Charles Roberts, D.D.S.

  • General Practice Dentistry
  • Twin Falls, ID
  • NPI 1023103561
  NPD (past)

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1124755566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N 44TH ST STE 600",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850087616",
            "telephone_number": "208-893-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W CAYUSE CREEK DR STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836464757",
            "telephone_number": "208-893-5435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 N Government Way Ste G",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838143658",
            "country_code": "US",
            "telephone_number": "208-664-9129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "256 Martin St",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833014542",
            "country_code": "US",
            "telephone_number": "208-733-5346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "188 River Vista Pl",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833013056",
            "country_code": "US",
            "telephone_number": "208-733-2090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIGNATURE IDAHO DENTAL PARTNERS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIGNATURE DENTAL PARTNERS LLC",
        "enumeration_date": "2022-08-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "BENNION",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "DIRECTOR OF INTEGRATIONS",
        "authorized_official_telephone_number": "480-234-8490"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Gate Cosmetic & Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coeur d'Alene Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Linder Road Family & Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Linder Road Family & Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Roberts & Hall Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandi Nicole Siebertz, M.S.
• Siena Einerprises, LLC
• Siente Wellness Services LLC
• Danielle Sigman
• Signature Dental PC
• Signature Smiles
• Holly Sikha, CPM LM
• Ana L. Siler, N.P.
• Kelly Elizabeth Sills
• Arnold Silva, MD, PHD

• All providers in Meridian, ID
• Dental Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.