KASEY HENDRICKS (NPI# 1811419930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | D-4856 | ID | Dental Providers |
Street Address |
322 EAST MAIN ST. |
City | ST. ANTHONY |
State | ID |
Zip Code | 83445 |
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 |
Find all providers in zip 83445 |
Taxonomy Code | 122300000X |
Grouping | Dental Providers |
Classification | Dentist |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023155231 | Terry Lee Wade | Dentist | 24 E 3rd S, St. Anthony, ID 83445-1808 | 2007-01-30 |
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 |
Find all providers with the same taxonomy |
City | ST. ANTHONY |
Zip Code | 83445 |
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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.