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DR. RYAN T KIDMAN DDS
NPI 1033280136
Dentist - General Practice in Idaho Falls, ID

Active since November 11, 2006PECOS Enrolled
139 ALTURAS ST, IDAHO FALLS, ID 83401(208) 523-5090(208) 895-0583 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ryan T Kidman Dds NPPES

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

DR. RYAN T KIDMAN DDS (NPI 1033280136) is an individual general practice provider in Idaho Falls, Idaho, licensed in Idaho (D4006) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033280136
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RYAN T KIDMANCredential: DDS
Location Address139 ALTURAS STIdaho Falls, ID 83401-4309
Mailing Address139 Alturas StIdaho Falls, ID 83401-4309 · (208) 523-5090
Phone(208) 523-5090
Fax(208) 895-0583
Sole ProprietorYes
Enumeration DateNovember 11, 2006
Last NPPES UpdateJune 7, 2023
NPPES CertifiedJune 7, 2023
✔ NPI 1033280136 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 · D4006
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.
139 ALTURAS ST, Idaho Falls, ID 83401
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Other Identifiers 1

Medicaid807576700ID

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 T Kidman 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 83401 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

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

DR. KIRT BRUCE HILLAM DDS
Dentist
139 ALTURAS ST
IDAHO FALLS, ID 83401
Bonneville County (208) 523-5090

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 Kidman's NPI number?

The NPI number for Ryan Kidman is 1033280136. It was assigned to this individual provider in the NPPES registry on November 11, 2006.

Where is Ryan Kidman located?

Ryan Kidman practices at 139 Alturas St, Idaho Falls, ID 83401. The listed phone number is (208) 523-5090.

What is Ryan Kidman's specialty?

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

Is Ryan Kidman enrolled in Medicare?

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

What insurance does Ryan Kidman 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 4 other insurers list Ryan Kidman 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 Kidman was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.