Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kevin Richard Mudrow, D.D.S.

Dentist in Idaho Falls, ID · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114126992

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Kevin Richard Mudrow

Credential D.D.S.

Sex Male

Practice address 333 S Woodruff Ave, Suite F, Idaho Falls, ID, 83401

Phone (208) 524-2030

Enumeration date Jul 12, 2007

Last updated in NPPES Sep 11, 2013

Taxonomy & licenses

122300000X Dentist Dental Providers · License D8946 (OR) Secondary

122300000X Dentist Dental Providers · License D4481 (ID) Primary

DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Kevin Mudrow?

Kevin Mudrow is registered in NPPES with the primary taxonomy of Dentist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-09-11.