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DR. KAITLIN REBECCA GAGNON DMD
NPI 1467145169
Dentist in Sandpoint, ID

Active since May 30, 2023PECOS Enrolled
810 SIXTH AVE, SANDPOINT, ID 83864(208) 265-2242 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2026, May 30, 2023 (2 updates tracked since 2023).

About Dr. Kaitlin Rebecca Gagnon Dmd NPPES

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

DR. KAITLIN REBECCA GAGNON DMD (NPI 1467145169) is an individual dentist in Sandpoint, Idaho, licensed in Idaho (D-5514) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bonners Ferry.

NPPES Registry Identity

NPI1467145169
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. KAITLIN REBECCA GAGNONCredential: DMD
Location Address810 SIXTH AVESandpoint, ID 83864-5396
Mailing Address810 Sixth AveSandpoint, ID 83864-5396 · (208) 946-7187
Phone(208) 265-2242
Sole ProprietorNo
Enumeration DateMay 30, 2023
Last NPPES UpdateFebruary 4, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1467145169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in ID · D-5514
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · Dental Public HealthTaxonomy 1223D0001X · License D-5514 (ID)
810 SIXTH AVE, Sandpoint, ID 83864
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Secondary Practice Location 1

Location 16615 Comanche StBonners Ferry, ID 83805-7523 · Phone (208) 267-1718

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. Kaitlin Rebecca Gagnon 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 83864 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 13

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

KIMBERLY AMELIA RUTLAND WHNP
Nurse Practitioner (Obstetrics & Gynecology)
810 SIXTH AVE
SANDPOINT, ID 83864
Bonner County (208) 265-6252
TAMMY LYNN UNDIEMI FNP-BC
Nurse Practitioner
810 SIXTH AVE
SANDPOINT, ID 83864
Bonner County (208) 263-3410
MS. DEBRA ANN FREUND MS RN CPNP
Nurse Practitioner
810 SIXTH AVE
SANDPOINT, ID 83864
Bonner County (208) 263-7101
SARAH RAINS PA-C
Physician Assistant
810 SIXTH AVE
SANDPOINT, ID 83864
Bonner County (208) 265-6252
TARA LEIGH WEEKS VIZCARRA M.D.
Pediatrics
810 SIXTH AVE
SANDPOINT, ID 83864
Bonner County (208) 265-2242
SASHA MALONEY
Counselor (Addiction (Substance Use Disorder))
810 SIXTH AVE
SANDPOINT, ID 83864
Bonner County (208) 263-3410
MEGAN GENTRY PA-C
Physician Assistant (Medical)
810 SIXTH AVE
SANDPOINT, ID 83864
Bonner County (208) 265-2242
SARA MARIE FISHER NP-C
Nurse Practitioner (Family)
810 SIXTH AVE
SANDPOINT, ID 83864
Bonner County (208) 265-6252

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 Kaitlin Gagnon's NPI number?

The NPI number for Kaitlin Gagnon is 1467145169. It was assigned to this individual provider in the NPPES registry on May 30, 2023.

Where is Kaitlin Gagnon located?

Kaitlin Gagnon practices at 810 Sixth Ave, Sandpoint, ID 83864. The listed phone number is (208) 265-2242.

What is Kaitlin Gagnon's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kaitlin Gagnon enrolled in Medicare?

Yes. Kaitlin Gagnon is registered in the Medicare PECOS enrollment system.

What insurance does Kaitlin Gagnon 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 Kaitlin Gagnon 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 Kaitlin Gagnon was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.