Kistler Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KISTLER DENTAL PLLC

Practice address

2818 S 25TH E
Idaho Falls, ID 83404-6509

Phone

(208) 243-8391

NPI assigned

Sep 23, 2021

Organization subpart

No

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

Authorized official

Name

Amanda Kistler

Title

Owner

Phone

(208) 243-8391

Specialties & licenses 1

Addresses

Practitioners 2

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

• Rodney Cordell Johns, DMD

  • General Practice Dentistry
  • Idaho Falls, ID
  • NPI 1912289885
  NPD
• Jennifer Lindzi Aaberg, DDS

  • General Practice Dentistry
  • Idaho Falls, ID
  • NPI 1508427642
  NPD (past)

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1780355453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441900887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 S 25TH E",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046509",
            "telephone_number": "208-243-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISTLER DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-23",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "KISTLER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-243-8391"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Scott Kinghorn, FNP-C
• Julia Evalyne Kippen, LMSW
• Claudia Roberts Kirchgasler, MA CCC SLP
• Thomas Michael Kirschen, DO
• Lisa La'Ree Kishiyama, LMSW
• Kolby Tronier Klingler, D.M.D.
• William Kenneth Klingler, DMD
• Ashley Morgan Klink, PA-C
• Steven V Klippert, MD
• Laura Lee Shepherd Klosterman, LCPC

• General Practice Dentistry in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.