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DR. SHANNON WIDMIER D.D. S. P.A.
NPI 1396842779
Dentist - General Practice in Kimberly, ID

Active since September 20, 2006PECOS Enrolled
702 CENTER STREET WEST, KIMBERLY, ID 83341(208) 423-6444(208) 423-6903 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shannon Widmier D.d. S. P.a. NPPES

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

DR. SHANNON WIDMIER D.D. S. P.A. (NPI 1396842779) is an individual general practice provider in Kimberly, Idaho, licensed in Idaho (D3342) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396842779
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SHANNON WIDMIERCredential: D.D. S. P.A.
Location Address702 CENTER STREET WESTKimberly, ID 83341
Mailing AddressPo Box BKimberly, ID 83341-0010 · (208) 423-6444 · Fax (208) 423-6903
Phone(208) 423-6444
Fax(208) 423-6903
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396842779 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 · D3342
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.
702 CENTER STREET WEST, Kimberly, ID 83341
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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. Shannon Widmier D.d. S. P.a. 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 83341 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. KENT J. ALLEN D.D.S.P.A.
Dentist (General Practice)
702 CENTER STREET WEST
KIMBERLY, ID 83341
Twin Falls County (208) 423-6444

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 Shannon Widmier's NPI number?

The NPI number for Shannon Widmier is 1396842779. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Shannon Widmier located?

Shannon Widmier practices at 702 Center Street West, Kimberly, ID 83341. The listed phone number is (208) 423-6444.

What is Shannon Widmier's specialty?

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

Is Shannon Widmier enrolled in Medicare?

Yes. Shannon Widmier is registered in the Medicare PECOS enrollment system.

What insurance does Shannon Widmier accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and PacificSource Health Plans list Shannon Widmier 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 Shannon Widmier was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.