MCRAE DENTAL PA (NPI# 1184884348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184884348 |
| Entity Type | Organization |
| Organization Name | MCRAE DENTAL PA |
| Practice Address |
1067 S. Wells St. Meridian ID 83642-3561 |
| Mailing Address |
1067 S Wells St Meridian ID 83642-7997 |
| Practice Telephone | 2088958486 |
| Practice Fax Number | 2088958540 |
| Mailing Telephone | 2088958486 |
| Mailing Fax Number | 2088958540 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2017-10-20 |
| Authorized Official Name | DR. LON CHAD MCRAE (DR) |
| Authorized Official Telephone | 2088948486 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | Y |
| Parent Organization Name | MCRAE DENTAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
000673526W | ID | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 805008600 | 05 |
| Street Address |
1067 S. WELLS ST. |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-3561 |
| 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 | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306314323 | Cr Smiles - Meridian Dental Care LLC | Clinic/Center | 1500 W Cayuse Creek Dr, #100, Meridian, ID 83646 | 2018-11-07 |
| 1275015950 | Mcmillan Family Dental Pllc | Clinic/Center | 1720 W. Mcmillan, Meridian, ID 83646 | 2018-08-30 |
| 1992108708 | Daron Lind Dds Pllc | Clinic/Center | 2320 E Gala St Ste 200, Meridian, ID 83642-4880 | 2014-10-07 |
| 1689809980 | Cedar Springs Family Dental, Pllc | Clinic/Center | 790 W Ustick Rd Ste 110, Meridian, ID 83646-5558 | 2009-05-16 |
| 1326221425 | J A Lauderdale IIi, Dds, Pa | Clinic/Center | 2321 16th St, Meridian, MS 39301-4031 | 2007-12-11 |
| 1437692118 | Silverstone Family Dental, PC | Clinic/Center | 2026 S Eagle Rd, Meridian, ID 83642-6707 | 2016-11-29 |
| 1700167145 | J. Britt Mccarty Dmd Pa | Clinic/Center | 1922 23rd Ave, Meridian, MS 39301-3107 | 2011-08-30 |
| 1720214521 | Mountain View Pointe Dental | Clinic/Center | 2201 E Gala St, Meridian, ID 83642-2798 | 2009-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864384 | Kuna Kids Dentistry PC | Clinic/Center | 1385 N Jacksonmill Ave, Kuna, ID 83634-2042 | 2020-09-08 |
| 1720691785 | Advanced Dentistry of Mccall | Clinic/Center | 313 Deinhard Ln, Mccall, ID 83638-4703 | 2020-08-28 |
| 1720698608 | Club 32 Dental | Clinic/Center | 624 3rd St S, Nampa, ID 83651-3840 | 2020-08-05 |
| 1831732502 | Hughes Dental Pllc | Clinic/Center | 834 Falls Ave Ste 2030, Twin Falls, ID 83301-3365 | 2019-10-24 |
| 1083279087 | Idaho Buckeye Inc | Clinic/Center | 1537 2nd Ave S, Payette, ID 83661-2919 | 2019-05-06 |
| 1639637168 | Scott Carter, Inc | Clinic/Center | 982 Banks Lowman Rd, Garden Valley, ID 83622 | 2019-03-04 |
| 1831678903 | Town Square Dental Partners, Pllc | Clinic/Center | 8660 W Emerald St Ste 152, Boise, ID 83704-4828 | 2018-08-09 |
| 1265935902 | Wilson Dental Pllc | Clinic/Center | 10497 W Garverdale Ct Ste 107, Boise, ID 83704-5468 | 2018-03-08 |
| 1841643533 | Dental Partners Ustick Pllc | Clinic/Center | 4403 E Ustick Rd # 104, Caldwell, ID 83605-6802 | 2016-07-18 |
| 1912356841 | Joseph P. Schmidt Pllc | Clinic/Center | 2600 W Rose Hill St, Suite 100, Boise, ID 83705-5967 | 2016-06-10 |
| 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.