IDAHO CENTER DENTAL CARE (NPI# 1407152721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407152721 |
| Entity Type | Organization |
| Organization Name | IDAHO CENTER DENTAL CARE |
| Practice Address |
5826 E Franklin Rd Nampa ID 83687-5020 |
| Mailing Address |
16377 N Market Place Blvd Nampa ID 83687-7910 |
| Practice Telephone | 2084616000 |
| Practice Fax Number | 8774613636 |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2011-02-03 |
| Authorized Official Name | WILLIAM CHAD WOLFF (PRACTISING DENTIST) |
| Authorized Official Telephone | 2084616000 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
D4256 | ID | Ambulatory Health Care Facilities |
| Street Address |
5826 E FRANKLIN RD |
| City | NAMPA |
| State | ID |
| Zip Code | 83687-5020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189732 | Eva Bingham | Nurse Practitioner | 5826 E Franklin Rd, Nampa, ID 83687-5020 | 2020-09-23 |
| 1770129322 | Mayo Family Healthcare Pllc | Nurse Practitioner | 5826 E Franklin Rd, Nampa, ID 83687-5020 | 2019-11-19 |
| 1396245742 | Billiesue Mayo | Nurse Practitioner | 5826 E Franklin Rd, Nampa, ID 83687-5020 | 2018-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307447 | Current Physical Therapy Nampa LLC | Physical Therapist | 16150 N High Desert Street, Nampa, ID 83687 | 2020-02-10 |
| 1356867683 | Nampa of Cascadia, LLC | Skilled Nursing Facility | 900 North Happy Valley Rd, Nampa, ID 83687 | 2017-08-18 |
| 1750828513 | Daniel & Max, LLC | Optometrist | 1600 Karcher Rd, Nampa, ID 83687 | 2017-01-31 |
| 1578965422 | Jorge Domingo Reyes | Counselor | 5700 E. Franklin Rd., Suite 220-i, Nampa, ID 83687 | 2014-09-23 |
| 1619302080 | David Lyle Farris | Dentist | 16548 North Franklin Blvd., Nampa, ID 83687 | 2013-09-04 |
| 1871934547 | Ian Zafar Qureshi | Internal Medicine | 4400 E Flamingo Ave Ste 130, Nampa, ID 83687 | 2013-07-10 |
| 1457696783 | Laurel Evans | Specialist/Technologist | 850 W. St. Luke's Dr., Suite 215, Nampa, ID 83687 | 2012-11-27 |
| 1750641197 | Andrea Patricia Fitzer | Nurse Practitioner | 4400 E. Flamingo Ave, Nampa, ID 83687 | 2012-05-18 |
| 1679846182 | Ivony Case Management | Case Management | 811 12th Street, Ste. 2, Nampa, ID 83687 | 2012-02-14 |
| 1699043679 | Saltzer Medical Group, P.a. | Durable Medical Equipment & Medical Supplies | 9850 W St Lukes Drive, Nampa, ID 83687 | 2011-12-06 |
| Find all providers in zip 83687 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720698608 | Club 32 Dental | Clinic/Center | 624 3rd St S, Nampa, ID 83651-3840 | 2020-08-05 |
| 1053705178 | Onsite Dental, Pllc | Clinic/Center | 524 E Fujii Dr, Nampa, ID 83686-6906 | 2015-03-26 |
| 1881602639 | Community Health Clinics Inc | Clinic/Center | 11136 Moss Lane, Nampa, ID 83687 | 2006-08-04 |
| 1891396776 | Happy Healthy Smiles LLC | Clinic/Center | 1436 S Edgewater Cir, Nampa, ID 83686-5051 | 2020-11-05 |
| 1568944502 | Ns South | Clinic/Center | 1705 12th Ave Rd, Nampa, ID 83686-6104 | 2018-09-06 |
| 1265979629 | Community Health Clinics, Inc. | Clinic/Center | 207 1st St S, Nampa, ID 83651-3703 | 2017-01-24 |
| 1457593584 | Todd L Squires Ddc Pllc | Clinic/Center | 2811 12th Ave Rd, Nampa, ID 83686 | 2009-04-06 |
| 1093977647 | Russell C. Pool, Dmd, Pa | Clinic/Center | 109 12th Ave Rd, Nampa, ID 83686-5047 | 2008-06-25 |
| 1689849598 | Kelly E. Carlen, Dds Pllc | Clinic/Center | 2811 12th Ave Rd, Nampa, ID 83686-8482 | 2008-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864384 | Kuna Kids Dentistry PC | Clinic/Center | 1385 N Jacksonmill Ave, Kuna, ID 83634-2042 | 2020-09-08 |
| 1720691785 | Advanced Dentistry of Mccall | Clinic/Center | 313 Deinhard Ln, Mccall, ID 83638-4703 | 2020-08-28 |
| 1831732502 | Hughes Dental Pllc | Clinic/Center | 834 Falls Ave Ste 2030, Twin Falls, ID 83301-3365 | 2019-10-24 |
| 1083279087 | Idaho Buckeye Inc | Clinic/Center | 1537 2nd Ave S, Payette, ID 83661-2919 | 2019-05-06 |
| 1639637168 | Scott Carter, Inc | Clinic/Center | 982 Banks Lowman Rd, Garden Valley, ID 83622 | 2019-03-04 |
| 1306314323 | Cr Smiles - Meridian Dental Care LLC | Clinic/Center | 1500 W Cayuse Creek Dr, #100, Meridian, ID 83646 | 2018-11-07 |
| 1275015950 | Mcmillan Family Dental Pllc | Clinic/Center | 1720 W. Mcmillan, Meridian, ID 83646 | 2018-08-30 |
| 1831678903 | Town Square Dental Partners, Pllc | Clinic/Center | 8660 W Emerald St Ste 152, Boise, ID 83704-4828 | 2018-08-09 |
| 1265935902 | Wilson Dental Pllc | Clinic/Center | 10497 W Garverdale Ct Ste 107, Boise, ID 83704-5468 | 2018-03-08 |
| 1841643533 | Dental Partners Ustick Pllc | Clinic/Center | 4403 E Ustick Rd # 104, Caldwell, ID 83605-6802 | 2016-07-18 |
| Find all providers with the same taxonomy | ||||
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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.