DR. ROBERT C. GAUDRY (NPI# 1942374491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942374491 |
| Entity Type | Individual |
| Full Name | DR. ROBERT C. GAUDRY |
| Credential | D.D.S., M.S. |
| Practice Address |
1718 S. Millenium Way Meridian ID 83642-1511 |
| Practice Telephone | 2088871053 |
| Practice Fax Number | 2088845346 |
| Mailing Telephone | 2088871053 |
| Mailing Fax Number | 2088845346 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D-1954-OR | ID | Dental Providers |
| Street Address |
1718 S. MILLENIUM WAY |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-1511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| 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 |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1205330420 | Jendy Pllc | Dentist | 2300 W Everest Ln Ste 125, Meridian, ID 83646-6113 | 2018-03-21 |
| 1306968342 | Michael D. Payne | Dentist | 3289 N Towerbridge Way, Meridian, ID 83642-8347 | 2007-04-03 |
| 1285764787 | Charles E Atkins Jr, Dmd | Dentist | 1603 23rd Ave, Meridian, MS 39301-3102 | 2007-03-06 |
| 1336218833 | John J Hodge | Dentist | 4227 Poplar Springs Dr, Meridian, MS 39305-3311 | 2006-11-07 |
| 1417060302 | Gregory Scott Guymon | Dentist | 1200 W Cherry Ln Ste 101, Meridian, ID 83642-4933 | 2006-08-16 |
| 1134136286 | Gold Orthodontics, P.C. | Dentist | 1550 E Heritage Park St Ste 100, Meridian, ID 83642-5886 | 2006-08-02 |
| 1790318608 | Smile Straight Orthodontics-central Ms Pllc | Dentist | 2300 N Hills St, Meridian, MS 39305-2633 | 2020-02-19 |
| 1578868188 | Douglas Orthodontics | Dentist | 1603 23rd Ave, Meridian, MS 39301-3102 | 2011-01-13 |
| 1578724506 | John Hodge, Dmd, Ms | Dentist | 4227 Poplar Springs Dr, Meridian, MS 39305-3311 | 2008-06-23 |
| Find all providers in MERIDIAN | ||||
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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.