NICHOLAS J TANNER D.D.S.
NPI 1811157001
Dentist - General Practice in Idaho Falls, ID

Q: What is Nicholas Tanner's NPI number?

The NPI number for Nicholas Tanner is 1811157001. It was assigned to this individual provider in the NPPES registry on June 11, 2008.

Q: What is Nicholas Tanner'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 Nicholas Tanner was last updated on June 11, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 11, 2008PECOS Enrolled

640 S WOODRUFF AVE, IDAHO FALLS, ID 83401(208) 523-5400(208) 528-0565 Get Directions Write a Review

NPPES record last updated: June 11, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Nicholas J Tanner D.d.s. NPPES

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

NICHOLAS J TANNER D.D.S. (NPI 1811157001) is an individual general practice provider in Idaho Falls, Idaho, licensed in Idaho (D4138) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811157001

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameNICHOLAS J TANNERCredential: D.D.S.

Location Address640 S WOODRUFF AVEIdaho Falls, ID 83401-5299

Mailing Address640 S Woodruff AveIdaho Falls, ID 83401-5299 · (208) 523-5400 · Fax (208) 528-0565

Phone(208) 523-5400

Fax(208) 528-0565

Sole ProprietorNo

Enumeration DateJune 11, 2008

✔ NPI 1811157001 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 · D4138

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.

640 S WOODRUFF AVE, Idaho Falls, ID 83401

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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, 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)

Nicholas J Tanner 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 83401 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 9

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

STEVEN ABBOTT BARNARD D.D.S.

Dentist (General Practice)