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DEVAN MICHAEL MUNK DMD
NPI 1255968053
Dentist - Oral and Maxillofacial Surgery in Boise, ID

Active since March 24, 2020PECOS Enrolled
3003 W MAIN ST STE 130, BOISE, ID 83702(208) 342-7610 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2025, Mar 24, 2020 (2 updates tracked since 2020).

About Devan Michael Munk Dmd NPPES

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

DEVAN MICHAEL MUNK DMD (NPI 1255968053) is an individual oral and maxillofacial surgery provider in Boise, Idaho, licensed in Idaho (D5596) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255968053
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDEVAN MICHAEL MUNKCredential: DMD
Location Address3003 W MAIN ST STE 130Boise, ID 83702-2026
Mailing Address3003 W Main St Ste 130Boise, ID 83702-2026 · (208) 342-7610
Phone(208) 342-7610
Sole ProprietorNo
Enumeration DateMarch 24, 2020
Last NPPES UpdateOctober 14, 20252 updates tracked since enumeration
NPPES CertifiedOctober 14, 2025
✔ NPI 1255968053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in ID · D5596
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License D5596 (ID)
3003 W MAIN ST STE 130, Boise, ID 83702
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Secondary Practice Locations 2

Location 13015 E Goldstone Dr Ste 140Meridian, ID 83642-1224 · Phone (208) 342-7610
Location 211575 W State StStar, ID 83669-5221 · Phone (208) 286-7755

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Humana.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)

Devan Michael Munk Dmd 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 5

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

WHITEWATER ORAL SURGERY GROUP PLLC
Dentist (Oral and Maxillofacial Surgery)
3003 W MAIN ST STE 130
BOISE, ID 83702
Ada County (208) 342-7610
DR. KEVIN G KEMPERS DDS, MD
Dentist (Oral and Maxillofacial Surgery)
3003 W MAIN ST STE 130
BOISE, ID 83702
Ada County (208) 342-7610
DR. ERIC WEBB NELSON MD, DDS
Dentist (Oral and Maxillofacial Pathology)
3003 W MAIN ST STE 130
BOISE, ID 83702
Ada County (208) 342-7610
DR. CHRISTOPHER SCOTT MANIS JR. DMD
Oral & Maxillofacial Surgery
3003 W MAIN ST STE 130
BOISE, ID 83702
Ada County (208) 342-7610
JUSTIN HASTINGS DDS, MD
Oral & Maxillofacial Surgery
3003 W MAIN ST STE 130
BOISE, ID 83702
Ada County (208) 342-7610

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 Devan Munk's NPI number?

The NPI number for Devan Munk is 1255968053. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Devan Munk located?

Devan Munk practices at 3003 W Main St Ste 130, Boise, ID 83702. The listed phone number is (208) 342-7610.

What is Devan Munk's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Devan Munk enrolled in Medicare?

Yes. Devan Munk is registered in the Medicare PECOS enrollment system.

What insurance does Devan Munk accept?

Health plans from Anthem Blue Cross and Blue Shield and Humana list Devan Munk 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 Devan Munk was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.