JAMES C. ALLEN (NPI# 1356352090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356352090 |
| Entity Type | Individual |
| Full Name | JAMES C. ALLEN |
| Credential | D.D.S. |
| Practice Address |
35 Madison Professional Park Rexburg ID 83440-2057 |
| Practice Telephone | 2083565601 |
| Mailing Telephone | 2083565601 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D3634 | ID | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS OF IDAHO | 6I138 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215482443 | James King Allen Jr. | Behavioral Analyst | 6516 Bright Morning St, North Las Vegas, NV 89084-2016 | 2016-08-17 |
| 1578846713 | James Allen Jr. | Counselor | 4620 W Commercial Dr, Suite C, North Little Rock, AR 72116-7057 | 2011-09-23 |
| 1700105376 | James Crawford Allen | Internal Medicine | 3237 Middle Dam Ct, Johns Island, SC 29455-6044 | 2010-05-21 |
| 1043534357 | James E Allen | Chiropractor | 27772 Vista Del Lago, #b14, Mission Viejo, CA 92692-1173 | 2010-03-16 |
| 1962636647 | James Henry Allen | Dentist | 1848 Nottingham Dr, Vestavia, AL 35216-2612 | 2009-05-08 |
| 1952585192 | James L. Allen | Counselor | 1101 Wild Rose Ln, Chewelah, WA 99109-9038 | 2007-12-24 |
| 1013109289 | James B. Allen | Counselor | 455 Saint Andrews Rd, Columbia, SC 29210-4486 | 2007-08-13 |
| 1972701845 | James Allen | Psychiatry & Neurology | 67 President St., Musc, Department of Psychiatry, Charleston, SC 29425 | 2007-07-03 |
| 1346444676 | James W Allen | Nurse Anesthetist, Certified Registered | 182 Lake Tehama Trl, Homer, GA 30547-2250 | 2007-06-12 |
| 1275758427 | James M Allen | Physician Assistant | 3 Holiday Bison Dr, Mc Cook, NE 69001-4416 | 2007-04-14 |
| Street Address |
35 MADISON PROFESSIONAL PARK |
| City | REXBURG |
| State | ID |
| Zip Code | 83440-2057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548271273 | Robert L. Walker | Dentist | 35 Madison Professional Park, Rexburg, ID 83440-2057 | 2006-08-10 |
| 1831545102 | Madison Park Dental Center | Dentist | 35 Madison Professional Park, Rexburg, ID 83440-2057 | 2016-05-05 |
| 1093849226 | Madison Park Dental Center Pllc | Dentist | 35 Madison Professional Park, Rexburg, ID 83440 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235768490 | Henry's Fork Surgery Center Pllc | Clinic/Center | 23 Sawtelle Ave, Rexburg, ID 83440 | 2020-04-08 |
| 1952956906 | Shane Ellis Withers | Pharmacist | 164 E. Main, Rexburg, ID 83440 | 2019-08-06 |
| 1316392285 | Emma Anderson | Speech-Language Pathologist | 36 Professional Plaza Suite 110, Rexburg, ID 83440 | 2016-04-28 |
| 1851755524 | Sandra Frickey | Speech-Language Pathologist | 1087 Summers Drive, Premier Therapy Associates, Rexburg, ID 83440 | 2016-04-08 |
| 1275997215 | Kerry Denney | Counselor | 333 Walker Drive, Rexburg, ID 83440 | 2016-04-06 |
| 1467837583 | Wal-mart Stores, Inc. | Technician/Technologist | 303 E Moody Rd, Rexburg, ID 83440 | 2015-07-30 |
| 1649692609 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 410 W 1st N, Rexburg, ID 83440 | 2014-01-10 |
| 1043652571 | Creed Simon Webster | Counselor | 30 S 2nd W, Rexburg, ID 83440 | 2013-07-25 |
| 1033461660 | James Cannon Allen Dds PC | Dentist | 106 E 1st North, Rexburg, ID 83440 | 2012-10-05 |
| 1417217316 | Shelby Dee Woolstenhulme | Speech-Language Pathologist | 450 E. Main Street, Rexburg, ID 83440 | 2012-05-24 |
| Find all providers in zip 83440 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972516607 | Michael Robert Merrell | Dentist | 46 Professional Plz, Rexburg, ID 83440-2047 | 2006-08-14 |
| 1548271273 | Robert L. Walker | Dentist | 35 Madison Professional Park, Rexburg, ID 83440-2057 | 2006-08-10 |
| 1790793875 | Scott Richard Lewis | Dentist | 300 N 2nd E, Rexburg, ID 83440-1604 | 2006-08-04 |
| 1720518350 | Karl Bodily Klingler | Dentist | 72 S 1st E, Rexburg, ID 83440-1902 | 2017-06-15 |
| 1013374461 | Cornerstone Family Dental Pllc | Dentist | 44 S Center St, Rexburg, ID 83440-3016 | 2016-01-15 |
| 1134245087 | Stephen W Christensen I | Dentist | 130 W Main St, Rexburg, ID 83440-1827 | 2007-03-22 |
| 1093849226 | Madison Park Dental Center Pllc | Dentist | 35 Madison Professional Park, Rexburg, ID 83440 | 2007-03-16 |
| 1437259264 | R Lane Ward | Dentist | 44 S Center St, Rexburg, ID 83440 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1548887136 | Bald 1 Sleep Solutions LLC | Dentist | 790 N Meridian St, Blackfoot, ID 83221-4936 | 2020-06-29 |
| 1346870144 | Sleep Better Idaho LLC | Dentist | 3200 N Leslie Way, Meridian, ID 83646-5362 | 2020-01-21 |
| 1083269443 | Zachary Miller | Dentist | 700 W Ironwood Dr Ste 241, Coeur D Alene, ID 83814-4404 | 2019-08-02 |
| 1639723778 | Lindsey N R Gross | Dentist | 1800 Lincoln Way Ste 100, Coeur D Alene, ID 83814-2570 | 2019-07-26 |
| 1093369241 | Daniel Bryan Ackerman | Dentist | 10200 W Emerald St Ste 105, Boise, ID 83704-8900 | 2019-07-26 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1811419930 | Kasey Hendricks | Dentist | 322 East Main St., St. Anthony, ID 83445 | 2017-07-11 |
| 1659805075 | Ryan Michael Leininger | Dentist | 205 W Highway 95, Parma, ID 83660-5519 | 2017-04-12 |
| 1346789534 | Summit Dental Care Paul, Pllc | Dentist | 207 W Ellis Street, Paul, ID 83347 | 2017-02-21 |
| 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.