1. Home
  2. Directory
  3. Idaho
  4. Caldwell
  5. Dentist
  6. NPI Profile

DR. STANTON D WIDMER D.D.S.
NPI 1497918809
Dentist - Endodontics in Caldwell, ID

Active since July 07, 2008Opted out of Medicare · through Feb 12, 2027
4207 CLOCKTOWER AVE., CALDWELL, ID 83607(208) 454-3636(208) 454-1333 Get Directions Write a Review

NPPES record last updated: July 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Stanton D Widmer D.d.s. NPPES

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

DR. STANTON D WIDMER D.D.S. (NPI 1497918809) is an individual endodontics provider in Caldwell, Idaho, licensed in Idaho (#D-4148) and active in the NPI registry since July 2008. He has opted out of Medicare through February 12, 2027.

NPPES Registry Identity

NPI1497918809
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. STANTON D WIDMERCredential: D.D.S.
Location Address4207 CLOCKTOWER AVE.Caldwell, ID 83607-5236
Mailing Address4207 Clocktower Ave.Caldwell, ID 83607-5236 · (208) 454-3636 · Fax (208) 454-1333
Phone(208) 454-3636
Fax(208) 454-1333
Sole ProprietorYes
Enumeration DateJuly 7, 2008
✔ NPI 1497918809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in ID · #D-4148
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
4207 CLOCKTOWER AVE., Caldwell, ID 83607
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Stanton D Widmer D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 12, 2025 through February 12, 2027.

Opt-Out Effective DateFebruary 12, 2025
Opt-Out In Effect ThroughFebruary 12, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Stanton Widmer's NPI number?

The NPI number for Stanton Widmer is 1497918809. It was assigned to this individual provider in the NPPES registry on July 7, 2008.

Where is Stanton Widmer located?

Stanton Widmer practices at 4207 Clocktower Ave., Caldwell, ID 83607. The listed phone number is (208) 454-3636.

What is Stanton Widmer's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Stanton Widmer enrolled in Medicare?

No. Stanton Widmer has opted out of Medicare through February 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Stanton Widmer accept?

Health plans from Humana list Stanton Widmer 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 Stanton Widmer was last updated on July 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.