Kirby Clendenon DDS
Kirby Clendenon DDS is a healthcare organization registered as General Practice Dentistry in Caldwell, ID, holding Type 2 (organization) NPI 1407957897 since 2006. The authorized official on file is Kirby Clendenon, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1407957897 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Kirby Clendenon DDS |
| Practice address | 1711 S 10TH AVE, Caldwell, ID, 83605 |
| Phone | 2089549217 |
| Fax | 2084531037 |
| Enumeration date | 2006-09-26 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Kirby Clendenon |
|---|---|
| Title | President |
| Phone | 2084549217 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | D1836 | ID |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 839559 | Other | ID | UNITED CONCORDIA |
| 69096 | Other | ID | B/C OF ID |
Copy-ready billing details
Provider: Kirby Clendenon DDS NPI: 1407957897 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 1711 S 10TH AVE, Caldwell, ID, 83605
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1942311196 | Kirby Clendenon | Individual | General Practice Dentistry | Caldwell, ID |
Verify this record
Cross-check NPI 1407957897 against the authoritative CMS record: view Kirby Clendenon DDS on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
Who is the authorized official for Kirby Clendenon DDS?
What is the NPI number for Kirby Clendenon DDS?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.