MAGIC VALLEY ORTHODONTICS PLLC (NPI# 1760823488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760823488 |
| Entity Type | Organization |
| Organization Name | MAGIC VALLEY ORTHODONTICS PLLC |
| Practice Address |
1411 Falls Ave E Ste 1000c Twin Falls ID 83301-3459 |
| Practice Telephone | 2087347415 |
| Practice Fax Number | 2087331922 |
| Mailing Telephone | 2087347415 |
| Mailing Fax Number | 2087331922 |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |
| Authorized Official Name | DR. KEVIN WRIGHT MCMINN (ORTHODONTIST) |
| Authorized Official Telephone | 9152495302 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Street Address |
1411 FALLS AVE E STE 1000C |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-3459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235392770 | Trevor Parker Smith | Dentist | 1411 Falls Ave E Ste 1000c, Twin Falls, ID 83301-3459 | 2008-07-03 |
| 1740643303 | Andrew Keith Richards | Dentist | 1411 Falls Ave E Ste 1000c, Twin Falls, ID 83301 | 2016-03-31 |
| 1558709527 | Ryan Matthew Nielson | Dentist | 1411 Falls Ave E Ste 1000c, Twin Falls, ID 83301-3459 | 2013-06-11 |
| 1871848598 | Paul Johnson | Dentist | 1411 Falls Ave E Ste 1000c, Twin Falls, ID 83301-3459 | 2012-07-18 |
| 1811146327 | Smiles 4 Kids, LLC | Dentist | 1411 Falls Ave E Ste 1000c, Twin Falls, ID 83301-3459 | 2008-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083884621 | Braces 'r' Us | Dentist | 1431 Fillmore St Ste 100, Twin Falls, ID 83301-3380 | 2008-03-11 |
| 1962549477 | Brian L. Ward | Dentist | 857 Polk St, Twin Falls, ID 83301-3985 | 2007-01-31 |
| 1588765838 | Myron D. Guymon | Dentist | 452 Cheney Dr W Ste 150, Twin Falls, ID 83301-4087 | 2006-09-26 |
| 1841393212 | Troy Alan Williams | Dentist | 1431 North Fillmore St, Twin Falls, ID 83341 | 2006-09-07 |
| 1043321110 | Orthodontic Specialists of Magic Valley | Dentist | 318 Falls Ave, Twin Falls, ID 83301-3373 | 2006-08-31 |
| 1407029101 | Shane Lee Schvaneveldt | Dentist | 318 Falls Ave, Twin Falls, ID 83301-3373 | 2008-04-02 |
| 1336311612 | Ward Orthodontics | Dentist | 857 Polk St, Twin Falls, ID 83301-3985 | 2008-03-27 |
| 1558560524 | Jeff Geist | Dentist | 452 Cheney Dr W Ste 150, Twin Falls, ID 83301-3733 | 2007-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1093314932 | Smile Bar LLC | Dentist | 602 N Calgary Ct Ste 302, Post Falls, ID 83854-4000 | 2020-10-21 |
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1194369371 | Ikdo Emmett LLC | Dentist | 314 S Washington Ave, Emmett, ID 83617-2952 | 2019-10-31 |
| 1861954026 | Ikdo Star LLC | Dentist | 12190 W Evely Pines Ln, Star, ID 83669-6126 | 2019-04-04 |
| 1356815427 | Jkb Orthodontics | Dentist | 621 N Midland Blvd, Nampa, ID 83651-6525 | 2019-01-11 |
| 1184108706 | Ikdo Fruitland LLC | Dentist | 1619 N Whitley Dr, Fruitland, ID 83619-2162 | 2018-09-19 |
| 1205330420 | Jendy Pllc | Dentist | 2300 W Everest Ln Ste 125, Meridian, ID 83646-6113 | 2018-03-21 |
| 1841686649 | Cascade Dental, PC | Dentist | 839 S Main Street, Cascade, ID 83611 | 2015-04-09 |
| 1194169649 | Jordan Rodney Hillam | Dentist | 758 E 65th S, Idaho Falls, ID 83404-7696 | 2013-04-25 |
| Find all providers with the same taxonomy | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
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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.