CDE SERVICES


Address: 13150 W Persimmon Ln, Boise, ID 83713-1986
Phone: 2089650905

CDE SERVICES (NPI# 1255985321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255985321
Entity Type Organization
Organization Name CDE SERVICES
Practice Address 13150 W Persimmon Ln
Boise
ID 83713-1986
Practice Telephone 2089650905
Enumeration Date 2019-07-27
Last Update Date 2019-07-27
Authorized Official Name DR. NATALIE DOMANGUE-SHIFLETT (DIRECTOR)
Authorized Official Telephone 2089650905
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Indiana Business Entities CDE SERVICES LLC 5873w 375n, Sharpsville, IN 46068

Office Location

Street Address 13150 W PERSIMMON LN
City BOISE
State ID
Zip Code 83713-1986

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104855691 Michael Joshua Moorhouse Chiropractor 13150 W Persimmon Ln, Boise, ID 83713-1986 2006-06-30
1114172723 Sl Vision Pllc Optometrist 13150 W Persimmon Ln, Boise, ID 83713-1986 2008-11-24
1487804589 Rory Stephen O'connor Physician Assistant 13150 W Persimmon Ln, Boise, ID 83713-1986 2008-09-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265902332 Kidscare Home Health of Idaho, LLC Home Health 1835 Wildwood Street, Boise, ID 83713 2018-11-30
1417463928 Kimberly Ann Bohrer Behavioral Analyst 12053 W Hickory Dr, Boise, ID 83713 2017-12-19
1407371891 Emir Hadzic Optometrist 13239 W. Fernleaf St., Boise, ID 83713 2017-08-07
1518336650 Alliance Physical Medicine Nurse Practitioner 13909 W Wainwright Drive, Boise, ID 83713 2015-09-18
1083038335 Jan L Rehder Nurse Practitioner 13150 W Persimmon Lane, Boise, ID 83713 2014-02-06
1508287061 Heather N Fox Physician Assistant 12273 West Mcmillan Road, Boise, ID 83713 2013-12-30
1659667459 Jayson Clark Dentist 4274 N Eagle Road, Boise, ID 83713 2011-06-21
1043503659 Steven Anthony Eckhoff Physician Assistant 11662 W Arlen St, Boise, ID 83713 2011-05-16
1790923621 Christie Dudash Flynn Physician Assistant 12273 W Mcmillian Road, Boise, ID 83713 2009-01-30
1699930404 Dennis J. Garpetti, Dds, P.C. Dentist 13108 West Persimmon Lane, Boise, ID 83713 2008-07-21
Find all providers in zip 83713

Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124674437 Michael J. Moorhouse Inc. Clinic/Center 13900 W Wainwright Dr Ste 100, Boise, ID 83713-5028 2019-08-13
1528623915 D & S Works Clinic/Center 5622 W State St, Boise, ID 83703-3010 2019-05-01
1114432689 Triton Elite Athletic Medicine Clinic/Center 2392 E Gowen Rd, Boise, ID 83716-6707 2017-12-06
1093034936 Marston Family Chiropractic Pllc Clinic/Center 5275 S Deselm Way, Boise, ID 83716-6904 2010-05-17
1811101942 Laser Vision Centers, Inc. Clinic/Center 7960 West Rifleman Street, Ste. 150, Boise, ID 83704 2007-05-09
1447376355 Planned Parenthood of Idaho Clinic/Center 3668 N Harbor Lane, Boise, ID 83703 2007-03-22
1568587707 Therapy Express Pa Clinic/Center 8024 W Scardale Ct, Boise, ID 83704-0713 2007-03-20
1548811441 Catalyst Acupuncture & Integrative Medicine Clinic/Center 4477 W Emerald St Ste A150, Boise, ID 83706-2027 2019-09-23
1952815623 Live Well Health and Nutrition Pllc Clinic/Center 4700 N Cloverdale Rd Ste 103, Boise, ID 83713-1067 2017-11-16
1760920631 Oakes Chiropractic Health Center P A Clinic/Center 3183 N Cole Rd, Boise, ID 83704-5921 2017-02-10
Find all providers in BOISE

Competitor

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City BOISE
Zip Code 83713

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Dataset Information

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.

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