Active NPI
William Kenneth Klingler, DMD
- General Practice Dentistry
- Idaho Falls, ID
National Provider Identifier
1427626779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D-5280
- Practice address
- 2205 Channing Way Ste a
Idaho Falls, ID 83404-8016 - Phone
- (208) 529-4484
- NPI assigned
- Jun 14, 2021
- Last updated
- May 13, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7998 | OK | |
| General Practice Dentistry | 1223G0001X | D-5280 | ID | Primary |
Addresses
Primary practice location
2205 Channing Way Ste a
Idaho Falls, ID 83404-8016
Mailing address
4523 S Cameron LN
Rexburg, ID 83440-4373
Phone (208) 227-3043
Other practice location 1
9455 N Owasso Expy
Owasso, OK 74055-5440
Phone (191) 821-5472
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-5280 | ID | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foothills Dental Care, PLLC | Past | Accepting new patients | |
| Foothills Dental Care | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Idaho Falls, ID
- NPI 1275619090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1427626779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4523 S CAMERON LN",
"city": "REXBURG",
"state": "ID",
"postal_code": "834404373",
"telephone_number": "208-227-3043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 CHANNING WAY STE A",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834048016",
"telephone_number": "208-529-4484"
}
],
"practiceLocations": [
{
"address_1": "9455 N Owasso Expy",
"address_purpose": "LOCATION",
"city": "Owasso",
"state": "OK",
"postal_code": "740555440",
"country_code": "US",
"telephone_number": "191-821-5472",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLINGLER",
"first_name": "WILLIAM",
"middle_name": "KENNETH",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-14",
"last_updated": "2025-05-13",
"certification_date": "2025-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "7998",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ID",
"license": "D-5280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.