EASTERN IDAHO ENDODONTICS (NPI# 1427618958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427618958 |
| Entity Type | Organization |
| Organization Name | EASTERN IDAHO ENDODONTICS |
| Practice Address |
3335 S. Holmes Ave Idaho Falls ID 83404 |
| Practice Telephone | 2085243770 |
| Practice Fax Number | 2085243795 |
| Mailing Telephone | 2085243770 |
| Mailing Fax Number | 2085243795 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |
| Authorized Official Name | BART MORRISON (OWNER/ENDODONTISTS) |
| Authorized Official Telephone | 2085243770 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
| Street Address |
3335 S. HOLMES AVE |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| 1033560578 | Id Dental Associates, P.C. | Dentist | 2818 S 25th E, Idaho Falls, ID 83404 | 2016-06-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659590693 | Bart Baty Morrison | Dentist | 3335 S Holmes Ave, Idaho Falls, ID 83404-7981 | 2007-04-25 |
| 1588757223 | Val Heber Bingham | Dentist | 3387 Merlin Dr, Idaho Falls, ID 83404 | 2006-10-02 |
| 1124231261 | David Earl Wilson | Dentist | 3335 S Holmes Ave, Idaho Falls, ID 83404-7981 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417353830 | Blue Creek Endodontics | Dentist | 3240 E Louise Dr, Suite 110, Meridian, ID 83642-5107 | 2014-11-12 |
| 1831435460 | James Anthony Eaton | Dentist | 3240 E Louise Dr # 110, Meridian, ID 83642-5107 | 2013-01-01 |
| 1174888473 | Dean Philip Whiting | Dentist | 602 North Calgary Court, 301, Post Falls, ID 83854 | 2012-07-12 |
| 1437455961 | Herbert Ray Blaser | Dentist | 2104 N. Cole Rd., Boise, ID 83704 | 2011-02-01 |
| 1295035020 | Dustin Lee Gatten | Dentist | 602 N Calgary Ct Ste 301, Post Falls, ID 83854-4000 | 2010-10-27 |
| 1275848582 | Shaun Michael Whitney | Dentist | 1322 W Kathleen Ave Ste 2, Coeur D Alene, ID 83815-7365 | 2010-08-11 |
| 1497918809 | Stanton D Widmer | Dentist | 4207 Clocktower Ave., Caldwell, ID 83607-5236 | 2008-07-07 |
| 1912113036 | Matthew R Buhrley | Dentist | 742 W Cherry Ln, Meridian, ID 83642-1617 | 2007-05-15 |
| 1396961157 | Larue Antoine Bluth | Dentist | 5244 N Eagle Rd, Boise, ID 83713-0945 | 2007-04-18 |
| 1255458154 | Timothy Lee Gatten | Dentist | 602 N. Calgary Ct., Suite 301, Post Falls, ID 83854 | 2007-03-23 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
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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.