DR. HENRY SK WILLIS IV D.D.S.
NPI 1578554465
Dentist - General Practice in Bonners Ferry, ID

Q: What is Henry Willis's NPI number?

The NPI number for Henry Willis is 1578554465. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Q: What is Henry Willis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Henry Willis was last updated on July 12, 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.

Active since October 31, 2005PECOS Enrolled

6811 MAIN ST, SUITE A, BONNERS FERRY, ID 83805(208) 267-6454 Get Directions Write a Review

NPPES record last updated: July 12, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Henry Sk Willis Iv D.d.s. NPPES

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

DR. HENRY SK WILLIS IV D.D.S. (NPI 1578554465) is an individual general practice provider in Bonners Ferry, Idaho, licensed in Idaho (D-3784) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578554465

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. HENRY SK WILLIS IVCredential: D.D.S.

Location Address6811 MAIN ST, SUITE ABonners Ferry, ID 83805-8649

Mailing Address6811 Main St, Suite ABonners Ferry, ID 83805-8649 · (208) 267-6454

Phone(208) 267-6454

Sole ProprietorNo

Enumeration DateOctober 31, 2005

Last NPPES UpdateJuly 12, 2007

✔ NPI 1578554465 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 · D-3784

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.

6811 MAIN ST, Bonners Ferry, ID 83805

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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. Henry Sk Willis Iv D.d.s. 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 83805 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.

HANK WILLIS, DDS, PLLC

Clinic/Center (Dental)

6811 MAIN ST, STE A
BONNERS FERRY, ID 83805

Boundary County (208) 267-6454

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 Henry Willis's NPI number?

The NPI number for Henry Willis is 1578554465. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is Henry Willis located?

Henry Willis practices at 6811 Main St Suite A, Bonners Ferry, ID 83805. The listed phone number is (208) 267-6454.

What is Henry Willis's specialty?

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

Is Henry Willis enrolled in Medicare?

Yes. Henry Willis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Henry Willis was last updated on July 12, 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.