KENNETH CHILDRESS DDS
NPI 1912923475
Dentist - General Practice in Ruidoso, NM

Active since July 15, 2006
721 MECHEM DR, SIERRA MALL #5, RUIDOSO, NM 88345(575) 257-0246(575) 257-0249 Get Directions Write a Review

NPPES record last updated: April 24, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth Childress Dds NPPES

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

KENNETH CHILDRESS DDS (NPI 1912923475) is an individual general practice provider in Ruidoso, New Mexico, licensed in New Mexico (2704) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1912923475
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKENNETH CHILDRESSCredential: DDS
Location Address721 MECHEM DR, SIERRA MALL #5Ruidoso, NM 88345-6911
Mailing Address721 Mechem Dr, Sierra Mall #5Ruidoso, NM 88345-6911 · (575) 257-0246 · Fax (575) 257-0249
Fax(575) 257-0249
Sole ProprietorNo
Enumeration DateJuly 15, 2006
Last NPPES UpdateApril 24, 2012
NPI 1912923475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in NM · 2704 Licensed in CO · 8164
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.

721 MECHEM DR, Ruidoso, NM 88345

Other Identifiers 1

Medicaid88284751NM

Other Providers at the Same Location NPPES 6

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

Pharmacy
721 MECHEM DR
RUIDOSO, NM 88345
Pharmacist
721 MECHEM DR
RUIDOSO, NM 88345
Pharmacist
721 MECHEM DR, LONG'S PHARMACY AND GIFTS
RUIDOSO, NM 88345
Pharmacist (Pharmacotherapy)
721 MECHEM DR
RUIDOSO, NM 88345
Family Medicine
721 MECHEM DR, SIERRA MALL
RUIDOSO, NM 88345
Dentist (General Practice)
721 MECHEM DR, SIERRA MALL #5
RUIDOSO, NM 88345

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 Kenneth Childress's NPI number?

The NPI number for Kenneth Childress is 1912923475. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Where is Kenneth Childress located?

Kenneth Childress practices at 721 Mechem Dr Sierra Mall #5, Ruidoso, NM 88345. The listed phone number is (575) 257-0246.

What is Kenneth Childress's specialty?

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

When was this NPI record last updated?

The NPPES record for Kenneth Childress was last updated on April 24, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.