Active NPI
Kenyon L Oyler, DDS
- Dentist
- Boise, ID
National Provider Identifier
1821180944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D3327
- Practice address
- 12249 W McMillan Rd
Contenntal Dental Center
Boise, ID 83713-0555 - Phone
- (208) 322-0024
- Fax
- (208) 375-5721
- NPI assigned
- Sep 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D3327 | ID | Primary |
Addresses
Primary practice location
12249 W McMillan Rd
Contenntal Dental Center
Boise, ID 83713-0555
Mailing address
12249 W McMillan Rd
Boise, ID 83713-0555
Phone (208) 322-0024
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 |
|---|---|---|---|
| D3327 | ID | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sleep Better Idaho LLC | Current | Accepting new patients | |
| Sleep Better Idaho LLC | Dentist | Current | Accepting new patients |
Locations
3200 N Leslie Way
#100
Meridian, ID 83646
Phone (208) 412-1773
1246 Yellowstone Ave
Ste B3
Pocatello, ID 83201
Phone (208) 237-0560
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 and National Provider Directory roles.
-
- Dentist
- Meridian, ID
- NPI 1346870144
-
- General Practice Dentistry
- Pocatello, ID
- NPI 1992316251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821180944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12249 W MCMILLAN RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837130555",
"telephone_number": "208-322-0024",
"fax_number": "208-375-5721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12249 W MCMILLAN RD",
"address_2": "CONTENNTAL DENTAL CENTER",
"city": "BOISE",
"state": "ID",
"postal_code": "837130555",
"telephone_number": "208-322-0024",
"fax_number": "208-375-5721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OYLER",
"first_name": "KENYON",
"middle_name": "L",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ID",
"license": "D3327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.