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Dr. Kenneth Charles Prince , DDS

Dentist - General Practice • Council, ID

Active NPI 1114967098 Individual Practitioner Male Practitioner
Practice location in NPPES

205 N Berkley Ave
Council, ID 83612

Call 2082534242 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

205 N Berkley Ave

Council, ID 83612

Telephone 2082534242
Organization at the Same NPPES Address or Phone
Adams County Health Center Inc Facility NPI 1710915897

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Council and Idaho

3 active clinicians are listed under Dentist - General Practice with a practice address in Council, ID (755 in Idaho).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES ID D4335

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Idaho State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier United Concordia
527932
Other Identifier Regence Blue Shield
PR1900

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Amy Beam , FNP

Nurse Practitioner - Primary Care

NPI 1528550860

Family Nurse Practitioner

Dr. Monte Eppich , DDS

Dentist - General Practice

NPI 1952572950

Doctor of Dental Surgery

Dr. Gregory Smith , DDS

Dentist - General Practice

NPI 1619973401

Doctor of Dental Surgery

Chelsy Taylor , PA-C

Physician Assistant

NPI 1578994356

Physician Assistant (Certified)

Susan Warner , RN

Nurse Practitioner - Family

NPI 1942359898

Registered Nurse

Career & Practice History

NPI enumerated June 07, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1114967098
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2006
Last Update: September 13, 2012
Sole Proprietor: No

Other Dentist - General Practices in Council

Mailing Address

Po Box 428

Council, ID 836120428

Phone: 2082534242

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.