DR. RYAN M KOWALCZYK DDS
NPI 1023121795
Dentist - General Practice in Boise, ID

Q: What is Ryan Kowalczyk's NPI number?

The NPI number for Ryan Kowalczyk is 1023121795. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Q: What is Ryan Kowalczyk's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Kowalczyk was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 16, 2006PECOS Enrolled

1625 W BANNOCK ST, BOISE, ID 83702(208) 342-5444(208) 342-2076 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2023, Sep 19, 2019 (2 updates tracked since 2019).

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About Dr. Ryan M Kowalczyk Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RYAN M KOWALCZYK DDS (NPI 1023121795) is an individual general practice provider in Boise, Idaho, licensed in Idaho (D-3689) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023121795

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. RYAN M KOWALCZYKCredential: DDS

Location Address1625 W BANNOCK STBoise, ID 83702-5155

Mailing Address1625 W Bannock StBoise, ID 83702-5155 · (208) 890-1247 · Fax (208) 549-5988

Phone(208) 342-5444

Fax(208) 342-2076

Sole ProprietorYes

Enumeration DateAugust 16, 2006

Last NPPES UpdateDecember 6, 20232 updates tracked since enumeration

NPPES CertifiedDecember 6, 2023

✔ NPI 1023121795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in ID · D-3689

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1625 W BANNOCK ST, Boise, ID 83702

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Other Identifiers 1

Other6P481ID · Blue Cross Of Idaho

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ryan M Kowalczyk Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOWNTOWN DENTAL

Dentist (General Practice)

1625 W BANNOCK ST
BOISE, ID 83702

Ada County (208) 342-5444

DOWNTOWN DENTAL PLLC

Clinic/Center (Dental)

1625 W BANNOCK ST
BOISE, ID 83702

Ada County (208) 342-5444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Kowalczyk's NPI number?

The NPI number for Ryan Kowalczyk is 1023121795. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Ryan Kowalczyk located?

Ryan Kowalczyk practices at 1625 W Bannock St, Boise, ID 83702. The listed phone number is (208) 342-5444.

What is Ryan Kowalczyk's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Ryan Kowalczyk enrolled in Medicare?

Yes. Ryan Kowalczyk is registered in the Medicare PECOS enrollment system.

What insurance does Ryan Kowalczyk accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Ryan Kowalczyk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ryan Kowalczyk was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.