DR. RYAN W JUDD DMD
NPI 1609946078
Dentist - Dentist Anesthesiologist in Eagle, ID

Q: What is Ryan Judd's NPI number?

The NPI number for Ryan Judd is 1609946078. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Q: What is Ryan Judd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Judd was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 November 09, 2006

3245 S BRANDENBERG AVE, EAGLE, ID 83616(503) 679-9797 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 30, 2022, May 31, 2021 (2 updates tracked since 2021).

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About Dr. Ryan W Judd Dmd NPPES

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

DR. RYAN W JUDD DMD (NPI 1609946078) is an individual dentist anesthesiologist in Eagle, Idaho, licensed in Idaho (D4613) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1609946078

Entity TypeIndividualMale

Primary Taxonomy1223D0004X

Provider Legal NameDR. RYAN W JUDDCredential: DMD

Location Address3245 S BRANDENBERG AVEEagle, ID 83616-4413

Mailing Address37 W Archerfield St Ste 100Meridian, ID 83646-6587 · (208) 391-2894

Phone(503) 679-9797

Sole ProprietorYes

Enumeration DateNovember 9, 2006

Last NPPES UpdateAugust 30, 20222 updates tracked since enumeration

NPPES CertifiedAugust 30, 2022

✔ NPI 1609946078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers

Taxonomy Code1223D0004X

License✔ Licensed in ID · D4613

Definition

A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

3245 S BRANDENBERG AVE, Eagle, ID 83616

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Moda Health Plan, Inc..Insurance ›

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 Ryan Judd's NPI number?

The NPI number for Ryan Judd is 1609946078. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Ryan Judd located?

Ryan Judd practices at 3245 S Brandenberg Ave, Eagle, ID 83616. The listed phone number is (503) 679-9797.

What is Ryan Judd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

What insurance does Ryan Judd accept?

Health plans from Anthem Blue Cross and Blue Shield and Moda Health Plan, Inc. list Ryan Judd 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 Ryan Judd was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.