CODY WAID (NPI# 1093165524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093165524 |
Entity Type | Individual |
Full Name | CODY WAID |
Credential | L.D. |
Practice Address |
1833 N Lakes Pl Meridian ID 83646-1921 |
Mailing Address |
505 1st St Ste A Idaho Falls ID 83401-3929 |
Practice Telephone | 2083461887 |
Mailing Telephone | 2083461887 |
Enumeration Date | 2016-06-15 |
Last Update Date | 2016-06-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122400000X | Denturist | LD-111 | ID | Dental Providers |
Street Address |
1833 N LAKES PL |
City | MERIDIAN |
State | ID |
Zip Code | 83646-1921 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982202743 | Jayson Paul Smith | Nurse Practitioner | 1545 East Leighfield Dr., Meridian, ID 83646 | 2020-10-14 |
1356977466 | Tanabell Health Services Inc | Assisted Living Facility | 2584 E Magic View Dr, Meridian, ID 83646 | 2020-03-20 |
1801351176 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 2656 E Magicview Dr, Meridian, ID 83646 | 2019-01-31 |
1306314323 | Cr Smiles - Meridian Dental Care LLC | Clinic/Center | 1500 W Cayuse Creek Dr, #100, Meridian, ID 83646 | 2018-11-07 |
1639644107 | Joseph Anomalay | Counselor | 6700 N. Linder Rd, Ste 156 #257, Meridian, ID 83646 | 2018-10-10 |
1275015950 | Mcmillan Family Dental Pllc | Clinic/Center | 1720 W. Mcmillan, Meridian, ID 83646 | 2018-08-30 |
1609327022 | Finding Home Healthcare, Inc. | Clinic/Center | 55 W Willowbrook Dr Ste 103, Meridian, ID 83646 | 2016-10-20 |
1952857161 | Mitchell Truong | Pharmacist | 622 E. Ustick Road, Caldwell, ID 83646 | 2016-08-28 |
1134511264 | Brittany Laub | Massage Therapist | 2572 N Stokesberry Pl #300, Meridian, ID 83646 | 2015-02-26 |
1194117366 | Westfall Ventures, Inc | Health Maintenance Organization | 2572 N. Stokesberry Pl, Meridian, ID 83646 | 2015-02-25 |
Find all providers in zip 83646 |
Taxonomy Code | 122400000X |
Grouping | Dental Providers |
Classification | Denturist |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750944344 | Amanda Jodi Rowe | Denturist | 10480 W Garverdale Ct Ste 804a, Boise, ID 83704-5477 | 2019-04-18 |
1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
1366800583 | Nicholas Sander | Denturist | 124 11th Ave N, Buhl, ID 83316-1602 | 2016-02-02 |
1659760684 | Charles Rollin Westerberg | Denturist | 6710 W. Overland Rd., Boise, ID 83709 | 2015-01-14 |
1720419674 | Denture Clinic of Pocatello, Inc. | Denturist | 115 S 15th Ave Ste D, Pocatello, ID 83201-4052 | 2013-12-03 |
1053614248 | Public Denture Center | Denturist | 6710 W Overland Rd, Boise, ID 83709-2032 | 2010-12-10 |
1689990426 | Denture Service LLC | Denturist | 330 5th St, Lewiston, ID 83501-2408 | 2010-04-19 |
1598081556 | Rebecca Lynn Westerberg | Denturist | 2124 Blaine St, Caldwell, ID 83605-4426 | 2010-04-15 |
1386875268 | Fred Elmer Giovanini | Denturist | 505 1st Street, Suite A, Idaho Falls, ID 83401 | 2009-07-27 |
1013151083 | Glen M Castor | Denturist | 306 12th Ave S, Nampa, ID 83651-4246 | 2009-04-21 |
Find all providers with the same taxonomy |
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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.