JENDY PLLC (NPI# 1205330420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205330420 |
| Entity Type | Organization |
| Organization Name | JENDY PLLC |
| Other Organization Name | THE KIDS DENTIST AND ORTHODONTICS |
| Practice Address |
2300 W Everest Ln Ste 125 Meridian ID 83646-6113 |
| Mailing Address |
3235 N Towerbridge Way Ste 200 Meridian ID 83646-5721 |
| Practice Telephone | 2089386343 |
| Mailing Telephone | 2088887711 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |
| Authorized Official Name | DR. JOEL E WHITT (PRESIDENT) |
| Authorized Official Telephone | 2086312212 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
ID | Dental Providers | |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D3868-PD | ID | Dental Providers |
| Other Name | Type Code |
|---|---|
| The KIds Dentist and Orthodontics | Doing Business As Name - Organization |
| Street Address |
2300 W EVEREST LN STE 125 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83646-6113 |
| 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 | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902325749 | Cherry Lane Kids Dentistry | Dentist | 1558 N Crestmont Dr Ste A, Meridian, ID 83642-2194 | 2017-09-13 |
| 1720447097 | Brock Coletti | Dentist | 3235 N Towerbridge Way Ste 200, Meridian, ID 83646-5721 | 2016-02-15 |
| 1811156722 | Meridian Pediatric Dentistry, Pllc | Dentist | 1550 E Heritage Park St Ste 150, Meridian, ID 83646-5886 | 2008-06-05 |
| 1659546174 | Randall Parley Blair | Dentist | 37 W Archerfield St Ste 100, Meridian, ID 83646-6587 | 2008-04-25 |
| 1710068739 | J Britt Mccarty | Dentist | 1922 23rd Ave, Meridian, MS 39301-3107 | 2006-10-17 |
| 1407801939 | Toby O Merriman | Dentist | 1550 E Heritage Park St, Ste 150, Meridian, ID 83646-5886 | 2006-05-23 |
| 1326098682 | Joel E Whitt | Dentist | 3235 N Towerbridge Way, Suite 200, Meridian, ID 83646 | 2006-05-10 |
| 1962466292 | Lawrence Wayne Meadors | Dentist | 2300 W Everest Ln, Suite 125, Meridian, ID 83646-5925 | 2006-04-13 |
| 1356606511 | Meridian Pediatric Dental Group, LLC | Dentist | 1922 23rd Ave, Meridian, MS 39301 | 2012-07-12 |
| 1972863678 | Dental Care for Kids | Dentist | 3235 N Towerbridge Way, Suite 200, Meridian, ID 83646-5721 | 2012-05-29 |
| Find all providers in MERIDIAN | ||||
Please comment or provide details below to improve the information on JENDY PLLC.
| 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.