Kevin Mudrow DDS PLLC
NPI 1235565003ActiveOrganization· Dentist· Idaho Falls, ID
Dentist in Idaho Falls, Idaho, registered in NPPES in September 2013. The authorized official on file is Kevin Richard Mudrow, DDS, Owner/General Dentist.
Overview
| NPI | 1235565003 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 24, 2013 |
| Last updated in NPPES | Sep 24, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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