DR. LAURA KATHLEEN LINEBERRY


Address: 13059 W Persimmon Ln, Boise, ID 83713-1986
Phone: 2086589470

DR. LAURA KATHLEEN LINEBERRY (NPI# 1801061080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801061080
Entity Type Individual
Full Name DR. LAURA KATHLEEN LINEBERRY
Credential D.D.S., M.S.
Practice Address 13059 W Persimmon Ln
Boise
ID 83713-1986
Practice Telephone 2086589470
Practice Fax Number 2086580778
Mailing Telephone 2086589470
Mailing Fax Number 2086580778
Enumeration Date 2008-04-28
Last Update Date 2008-04-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
D3184OR ID Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
ID 805330500 05

Office Location

Street Address 13059 W PERSIMMON LN
City BOISE
State ID
Zip Code 83713-1986

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154562783 Lineberry Orthodontics Clinic/Center 13059 W Persimmon Ln, Boise, ID 83713-1986 2009-03-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265902332 Kidscare Home Health of Idaho, LLC Home Health 1835 Wildwood Street, Boise, ID 83713 2018-11-30
1417463928 Kimberly Ann Bohrer Behavioral Analyst 12053 W Hickory Dr, Boise, ID 83713 2017-12-19
1407371891 Emir Hadzic Optometrist 13239 W. Fernleaf St., Boise, ID 83713 2017-08-07
1518336650 Alliance Physical Medicine Nurse Practitioner 13909 W Wainwright Drive, Boise, ID 83713 2015-09-18
1083038335 Jan L Rehder Nurse Practitioner 13150 W Persimmon Lane, Boise, ID 83713 2014-02-06
1508287061 Heather N Fox Physician Assistant 12273 West Mcmillan Road, Boise, ID 83713 2013-12-30
1659667459 Jayson Clark Dentist 4274 N Eagle Road, Boise, ID 83713 2011-06-21
1043503659 Steven Anthony Eckhoff Physician Assistant 11662 W Arlen St, Boise, ID 83713 2011-05-16
1790923621 Christie Dudash Flynn Physician Assistant 12273 W Mcmillian Road, Boise, ID 83713 2009-01-30
1699930404 Dennis J. Garpetti, Dds, P.C. Dentist 13108 West Persimmon Lane, Boise, ID 83713 2008-07-21
Find all providers in zip 83713

Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194910778 Scott D Alexander Dentist 3167 South Bown Way, Boise, ID 83706 2007-09-07
1952504318 Jacob Reed Jarivs Dentist 6000 S Quamash Way, Boise, ID 83716-5617 2007-06-05
1588879399 Jon Miler Dentist 5220 N Eagle Rd, Boise, ID 83713-0945 2007-05-14
1194814251 Steven David Gilman Dentist 7301 W Emerald St Ste 101, Boise, ID 83704-8689 2006-10-12
1396843058 Marcus Lowry Dentist 9460 W. Franklin Rd, Boise, ID 83709 2006-09-20
1346344884 John C. Slattery Dentist 600 E Riverpark Ln, Suite 100, Boise, ID 83706-6551 2006-09-12
1265535298 James Kelly Poulsen Dentist 1453 W Hays, Boise, ID 83702 2006-09-06
1043322548 Terrell F Tingey Dentist 2020 N Cole Rd, Boise, ID 83704 2006-08-31
1205943669 John C Matunas Dentist 8000 Ustick Rd, Boise, ID 83704-5751 2006-08-23
1013920313 Samuel G. Smith Dentist 1541 S. Times Square, Boise, ID 83709 2006-08-15
Find all providers in BOISE

Competitor

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City BOISE
Zip Code 83713

Improve Information

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Dataset Information

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.

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