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Kenneth Childress, DDS
NPI 1912923475 · General Practice Dentistry · Ruidoso, NM
Kenneth Childress, DDS is a General Practice Dentistry provider in Ruidoso, NM (NPI 1912923475).
Provider details
- NPI number
- 1912923475
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 8164 (CO)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
721 Mechem Dr
Sierra Mall #5
Ruidoso, NM 88345-6911
Phone: (575) 257-0246
Fax: (575) 257-0249
Street-level locationGet directions
Mailing address
721 Mechem Dr
Ruidoso, NM 88345-6911
Registry dates
- Enumerated
- 2006-07-15
- Last updated
- 2012-04-24
Frequently asked questions
- What is Kenneth Childress's NPI number?
- Kenneth Childress's National Provider Identifier (NPI) is 1912923475, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Childress's specialty?
- Kenneth Childress is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Kenneth Childress located?
- Kenneth Childress's practice location on file with NPPES is 721 Mechem Dr, Ruidoso, NM 88345-6911.
- What is Kenneth Childress's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Childress is (575) 257-0246.
- Is Kenneth Childress's NPI active?
- Yes — Kenneth Childress's NPI (1912923475) is active in the NPPES registry as of the last update on 2012-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.