CR SMILES - MERIDIAN DENTAL CARE LLC (NPI# 1306314323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306314323 |
| Entity Type | Organization |
| Organization Name | CR SMILES - MERIDIAN DENTAL CARE LLC |
| Practice Address |
1500 W Cayuse Creek Dr #100 Meridian ID 83646 |
| Mailing Address |
8285 W Union Hills Dr #103 Glendale AZ 85308 |
| Practice Telephone | 2088935435 |
| Practice Fax Number | 2088848915 |
| Mailing Telephone | 6233628200 |
| Mailing Fax Number | 6239797364 |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2018-12-04 |
| Authorized Official Name | DR. CALVIN C BROWN JR. (SOLE MEMBER) |
| Authorized Official Telephone | 2487987708 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
1500 W CAYUSE CREEK DR #100 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202743 | Jayson Paul Smith | Nurse Practitioner | 1545 East Leighfield Dr., Meridian, ID 83646 | 2020-10-14 |
| 1356977466 | Tanabell Health Services Inc | Assisted Living Facility | 2584 E Magic View Dr, Meridian, ID 83646 | 2020-03-20 |
| 1801351176 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 2656 E Magicview Dr, Meridian, ID 83646 | 2019-01-31 |
| 1639644107 | Joseph Anomalay | Counselor | 6700 N. Linder Rd, Ste 156 #257, Meridian, ID 83646 | 2018-10-10 |
| 1275015950 | Mcmillan Family Dental Pllc | Clinic/Center | 1720 W. Mcmillan, Meridian, ID 83646 | 2018-08-30 |
| 1609327022 | Finding Home Healthcare, Inc. | Clinic/Center | 55 W Willowbrook Dr Ste 103, Meridian, ID 83646 | 2016-10-20 |
| 1952857161 | Mitchell Truong | Pharmacist | 622 E. Ustick Road, Caldwell, ID 83646 | 2016-08-28 |
| 1134511264 | Brittany Laub | Massage Therapist | 2572 N Stokesberry Pl #300, Meridian, ID 83646 | 2015-02-26 |
| 1194117366 | Westfall Ventures, Inc | Health Maintenance Organization | 2572 N. Stokesberry Pl, Meridian, ID 83646 | 2015-02-25 |
| 1144611872 | Jobeth Deanna Kuchar | Dietitian, Registered | 1465 Deer Crest Street, Building P 101, Meridian, ID 83646 | 2015-02-17 |
| Find all providers in zip 83646 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891304556 | Birchwood Dental, Pllc | Dentist | 3325 N Ten Mile Rd Ste 140, Meridian, ID 83646-6951 | 2020-07-29 |
| 1659619609 | Eagle Smiles Dentistry and Orthodontics, PC | Dentist | 6700 N Linder Rd Ste 132, Meridian, ID 83646-6608 | 2013-01-26 |
| 1699037333 | Jon Thomas Flint | Dentist | 3512 Highway 39 N, Meridian, MS 39301-1305 | 2012-06-08 |
| 1659632529 | Quinn Allen Brown | Dentist | 2635 N Devlin Ave, Meridian, ID 83646-1566 | 2012-06-06 |
| 1083975304 | Rhett Yeakley Dmd, Pllc | Dentist | 1570 E Heritage Park St Ste 100, Meridian, ID 83646-5886 | 2012-06-04 |
| 1811254931 | Meridian Community College | Dentist | 910 Highway 19 North, Meridian, MS 39307 | 2012-04-13 |
| 1619124039 | Rahil Akhtar | Dentist | 1505 S. Eagle Rd, Meridian, ID 83642 | 2008-08-27 |
| 1164684312 | Aesthetic Smiles | Dentist | 4795 N Summit Way Ste 120, Meridian, ID 83646-5017 | 2008-06-30 |
| 1881854123 | Jonathan N Scott | Dentist | 110 E. Ustick Rd., Meridian, ID 83646 | 2008-06-10 |
| 1730348236 | Southern Springs Dental Pllc | Dentist | 1910 S Meridian Rd, Ste 150, Meridian, ID 83642-9061 | 2008-06-09 |
| Find all providers in MERIDIAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.