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DR. KIRBY LYNN CLENDENON DDS
NPI 1942311196
Dentist - General Practice in Caldwell, ID

Active since August 31, 2006PECOS Enrolled
1711 S 10TH AVE, CALDWELL, ID 83605(208) 454-9217(208) 453-1037 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kirby Lynn Clendenon Dds NPPES

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

DR. KIRBY LYNN CLENDENON DDS (NPI 1942311196) is an individual general practice provider in Caldwell, Idaho, licensed in Idaho (D1836) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942311196
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KIRBY LYNN CLENDENONCredential: DDS
Location Address1711 S 10TH AVECaldwell, ID 83605
Mailing Address1711 S 10th AveCaldwell, ID 83605 · (208) 454-9217 · Fax (208) 453-1037
Phone(208) 454-9217
Fax(208) 453-1037
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1942311196 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 · D1836
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.
1711 S 10TH AVE, Caldwell, ID 83605
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Other Identifiers 2

Other839559United Concordia
Other69096Bc Of Id

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. Kirby Lynn Clendenon Dds 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 83605 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.

KIRBY CLENDENON DDS
Dentist (General Practice)
1711 S 10TH AVE
CALDWELL, ID 83605
Canyon County (208) 954-9217

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 Kirby Clendenon's NPI number?

The NPI number for Kirby Clendenon is 1942311196. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Kirby Clendenon located?

Kirby Clendenon practices at 1711 S 10th Ave, Caldwell, ID 83605. The listed phone number is (208) 454-9217.

What is Kirby Clendenon's specialty?

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

Is Kirby Clendenon enrolled in Medicare?

Yes. Kirby Clendenon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kirby Clendenon was last updated on July 8, 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.