KENNETH ALLEN DENGLER NPI 1801761424

NPI Information

  • NPI: 1801761424
  • Provider Name: KENNETH ALLEN DENGLER
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Individual
  • Address: 3716 W CAMAS ST
    BOISE, ID
    ZIP 83705
  • Phone: (208) 794-1884

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NPI Details

Kenneth Allen Dengler is a community based residential treatment facility, intellectual and/or developmental disabilities in Boise, ID. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. Kenneth Allen Dengler NPI is 1801761424. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3716 W CAMAS ST
BOISE, ID
ZIP 83705-229
Phone: (208) 794-1884

The enumeration date for this NPI number is 10/6/2025 and was last updated on 10/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesIDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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