KASEY HENDRICKS


Address: 322 East Main St., St. Anthony, ID 83445
Phone: 2086242000

KASEY HENDRICKS (NPI# 1811419930) 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) 1811419930
Entity Type Individual
Full Name KASEY HENDRICKS
Credential DDS
Practice Address 322 East Main St.
St. Anthony
ID 83445
Mailing Address 2465 W 960 S
Rexburg
ID 83440-4733
Practice Telephone 2086242000
Mailing Telephone 2082068628
Enumeration Date 2017-07-11
Last Update Date 2017-08-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist D-4856 ID Dental Providers

Office Location

Street Address 322 EAST MAIN ST.
City ST. ANTHONY
State ID
Zip Code 83445

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235253808 Northfork Developmental Services Inc. Day Training, Developmentally Disabled Services 104 N Bridge St, Suite #117, Saint Anthony, ID 83445 2007-03-19
1104970326 Fremont Joint School District #215 Local Education Agency (LEA) 147 2nd W Street, St. Anthony, ID 83445 2007-01-23
1679738397 Kent A Beesley Dentist 325 E Main St, Saint Anthony, ID 83445 2008-07-22
1518109974 Expressions Supportive Services, LLC Community/Behavioral Health 1076 A S. Yellowstone Hwy, Saint Anthony, ID 83445-0283 2009-04-01
1225294333 Todd F Birch.o.d. Optometrist 45 W 1st N, Saint Anthony, ID 83445-1401 2008-07-29
1346391513 Stephen J. Cheyne General Practice 430 N Bridge St, Saint Anthony, ID 83445-1425 2007-01-15
1952654741 I Care Medical Clinic Pa Physician Assistant 430 N Bridge St, Saint Anthony, ID 83445-1425 2012-10-18
1023288172 Fremont Medical Services PC Clinic/Center 430 N Bridge St, Saint Anthony, ID 83445-1425 2008-03-05
1932635810 Teton Pharmacy of St Anthony Pharmacy 104 N Bridge St, Suite 112, Saint Anthony, ID 83445-1455 2017-05-11
1972940229 Vonda Smith Social Worker 104 N Bridge St, #104, Saint Anthony, ID 83445-1455 2013-05-28
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023155231 Terry Lee Wade Dentist 24 E 3rd S, St. Anthony, ID 83445-1808 2007-01-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891304002 Tree City Family Dental Dentist 7301 W. Emerald St Ste. 102, Boise, ID 83704 2020-07-24
1548887136 Bald 1 Sleep Solutions LLC Dentist 790 N Meridian St, Blackfoot, ID 83221-4936 2020-06-29
1346870144 Sleep Better Idaho LLC Dentist 3200 N Leslie Way, Meridian, ID 83646-5362 2020-01-21
1083269443 Zachary Miller Dentist 700 W Ironwood Dr Ste 241, Coeur D Alene, ID 83814-4404 2019-08-02
1639723778 Lindsey N R Gross Dentist 1800 Lincoln Way Ste 100, Coeur D Alene, ID 83814-2570 2019-07-26
1093369241 Daniel Bryan Ackerman Dentist 10200 W Emerald St Ste 105, Boise, ID 83704-8900 2019-07-26
1003478629 Chris R Jackson Dentist Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 2019-07-03
1659805075 Ryan Michael Leininger Dentist 205 W Highway 95, Parma, ID 83660-5519 2017-04-12
1346789534 Summit Dental Care Paul, Pllc Dentist 207 W Ellis Street, Paul, ID 83347 2017-02-21
1033560578 Id Dental Associates, P.C. Dentist 2818 S 25th E, Idaho Falls, ID 83404 2016-06-27
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Competitor

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City ST. ANTHONY
Zip Code 83445

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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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