KADEESH MCNAUGHT (NPI# 1639725286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639725286 |
| Entity Type | Individual |
| Full Name | KADEESH MCNAUGHT |
| Practice Address |
90 Hope Dr Bldg 6000 Mountain Home Afb ID 83648-1062 |
| Practice Telephone | 2088287300 |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2019-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| Street Address |
90 HOPE DR BLDG 6000 |
| City | MOUNTAIN HOME AFB |
| State | ID |
| Zip Code | 83648-1062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023007846 | Craig Loyd Folsom | Dentist | 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 | 2005-10-14 |
| 1598378614 | Whitney Mark Galloway | Physician Assistant | 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 | 2020-08-28 |
| 1457908360 | Le Ann Marie Egan | Psychologist | 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 | 2019-08-26 |
| 1982259875 | David J Emert | Dental Assistant | 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 | 2019-08-07 |
| 1568016103 | Dylan Broadwater | Pharmacist | 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 | 2019-07-31 |
| 1700381175 | Erin Siebert | Military Health Care Provider | 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 | 2018-03-28 |
| 1538684915 | Emily Frieda Foxton | Physical Therapist | 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 | 2017-08-07 |
| 1598298135 | Zack Hunter | Military Health Care Provider | 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 | 2017-04-11 |
| 1922456979 | Jakob Kamilow | Counselor | 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 | 2016-06-01 |
| 1811345374 | Dakota Breish | Family Medicine | 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 | 2016-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851528392 | Amy Jo Glover | Military Health Care Provider | 90 Hope Dr. Bldg 6000, Mountain Home, ID 83648 | 2009-06-11 |
| 1306051065 | Thomas Michael Smith | Social Worker | 90 Hope Dr Bldg 1900, Mountain Home Afb, ID 83648 | 2007-05-14 |
| 1316005143 | Ronald Wesley Bailey | Radiology | Mountain Home Afb Medical Group, 90 Hope Drive, Building 6000, Mountain Home Afb, ID 83648 | 2006-12-05 |
| 1992780597 | Randall Jay Moore | Preventive Medicine | 366mdg/sgpf, 90 Hope Drive; Bldg 6000, Mountain Home Afb, ID 83648 | 2005-12-07 |
| 1356325666 | Joseph Carroll Skinner Jr. | Nurse Anesthetist, Certified Registered | 366 Mdos, Sgosa, 90 Hope Drive, Mountain Home Afb, ID 83648 | 2005-11-30 |
| 1477547271 | Ron Stumbo | Pharmacist | Mountain Home Afb, Mountain Home Afb, ID 83648 | 2005-09-07 |
| 1154315943 | Georgette Ann Trezvant | Social Worker | 366 Medical Operations Squadron, 90 Hope Drive, Bldg 6000, Mt. Home Air Force Base, ID 83648 | 2005-09-07 |
| 1265948897 | Alyse Marie Denittis | Physician Assistant | 90 Hope Dr, Mountain Home Afb, ID 83648 | 2017-12-19 |
| 1891224473 | Jared Getzlaff | Military Health Care Provider | 90 Hope Dr, Mountain Home Afb, ID 83648 | 2017-06-07 |
| 1548796527 | Derek J Dutson | Dentist | 90 Hope Dr, Mountain Home Afb, ID 83648 | 2017-05-11 |
| Find all providers in zip 83648 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487200036 | Terrance Valdespino | Dental Assistant | 90 Hope Dr, Mountain Home Afb, ID 83648-1057 | 2019-08-09 |
| 1982259875 | David J Emert | Dental Assistant | 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 | 2019-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982022422 | Jamie Parker | Dental Assistant | 1312 S Ivy St, Apt D, Nampa, ID 83686-6029 | 2014-04-02 |
| 1366553570 | Gary L Breslauer | Dental Assistant | 6117 N College Ave, Indianapolis, ID 46220 | 2006-08-31 |
| 1992714489 | Bret C Davis | Dental Assistant | 788 Eastland Drive, Suite A, Twin Falls, ID 83301 | 2006-08-05 |
| 1700874567 | Evie L Gardipe | Dental Assistant | 1115 B St, Plummer, ID 83851-0388 | 2005-10-06 |
| 1942297924 | Michele L Ott | Dental Assistant | 1115 B Street, Plummer, ID 83851-0388 | 2005-10-04 |
| City | MOUNTAIN HOME AFB |
| Zip Code | 83648 |
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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.