JKB ORTHODONTICS (NPI# 1356815427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356815427 |
| Entity Type | Organization |
| Organization Name | JKB ORTHODONTICS |
| Practice Address |
621 N Midland Blvd Nampa ID 83651-6525 |
| Practice Telephone | 2086495721 |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-01-11 |
| Authorized Official Name | DR. BRENDON JAMES SWENSON (MANAGER) |
| Authorized Official Telephone | 8013801986 |
| Authorized Official Credential | DDS MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Street Address |
621 N MIDLAND BLVD |
| City | NAMPA |
| State | ID |
| Zip Code | 83651-6525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376090985 | Stephen Michael Wren | Physician Assistant | 11035 W Karcher Rd, Nampa, ID 83651 | 2016-09-01 |
| 1104203157 | Jeremy Thorson | Social Worker | 456 West Orchard Ave., Apt D305, Nampa, ID 83651 | 2015-04-29 |
| 1134527708 | Community Health Clinics Inc | Clinic/Center | 207 1st Street S, Nampa, ID 83651 | 2014-12-15 |
| 1326455429 | Michelle Murchie | Pharmacist | 175 S. Middleton Rd, Nampa, ID 83651 | 2014-07-21 |
| 1700215373 | Stanley A Gillett | Chiropractor | 107 14th Ave S, Nampa, ID 83651 | 2013-11-04 |
| 1477996205 | James L Fries | Counselor | 847 Park Centre Way, Suite 5, Nampa, ID 83651 | 2013-04-11 |
| 1023367240 | Erin Westfall | Speech-Language Pathologist | 168 Mcclure Avenue, Nampa, ID 83651 | 2012-09-04 |
| 1487949475 | Erik Steven Linn | Family Medicine | 11035 W. Karcher Road, Nampa, ID 83651 | 2011-06-17 |
| 1720398647 | At Your Service Home Health Care LLC | In Home Supportive Care | 321 2nd St S Ste 103, Nampa, ID 83651 | 2010-10-13 |
| 1144544206 | Petra Morrison | Community/Behavioral Health | 1031 W. Sanetta St., Nampa, ID 83651 | 2010-03-18 |
| Find all providers in zip 83651 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992976765 | Daron Stevens Orthodontics | Dentist | 119 S Valley Dr, Suite E, Nampa, ID 83686-2974 | 2008-03-19 |
| 1174723472 | Ralph Hutchison Francis | Dentist | 119 S Valley Dr Ste E, Nampa, ID 83686-2985 | 2007-07-24 |
| 1083784946 | Christian C. Cusimano Dds, Ms, PC | Dentist | 345 W Iowa Ave, Nampa, ID 83686-2856 | 2006-11-08 |
| 1154427979 | Patrick A Niland | Dentist | 1609 12th Ave Rd, Nampa, ID 83686-6102 | 2006-09-16 |
| 1497166235 | Christian Cusimano | Dentist | 345 W Iowa Ave, Nampa, ID 83686-2856 | 2014-05-14 |
| 1467697177 | Idaho Pediatric Dentistry | Dentist | 4401 E Flamingo Ave, Nampa, ID 83687-3113 | 2008-12-09 |
| 1821251463 | Nampa Caldwell Orthodontics | Dentist | 1609 12th Ave Rd, Nampa, ID 83686-6102 | 2008-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1093314932 | Smile Bar LLC | Dentist | 602 N Calgary Ct Ste 302, Post Falls, ID 83854-4000 | 2020-10-21 |
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1194369371 | Ikdo Emmett LLC | Dentist | 314 S Washington Ave, Emmett, ID 83617-2952 | 2019-10-31 |
| 1861954026 | Ikdo Star LLC | Dentist | 12190 W Evely Pines Ln, Star, ID 83669-6126 | 2019-04-04 |
| 1184108706 | Ikdo Fruitland LLC | Dentist | 1619 N Whitley Dr, Fruitland, ID 83619-2162 | 2018-09-19 |
| 1205330420 | Jendy Pllc | Dentist | 2300 W Everest Ln Ste 125, Meridian, ID 83646-6113 | 2018-03-21 |
| 1841686649 | Cascade Dental, PC | Dentist | 839 S Main Street, Cascade, ID 83611 | 2015-04-09 |
| 1194169649 | Jordan Rodney Hillam | Dentist | 758 E 65th S, Idaho Falls, ID 83404-7696 | 2013-04-25 |
| 1790036705 | John K. Hintz Dds, Ms, Pa | Dentist | 195 W. Wyoming Ave, Hayden, ID 83835 | 2012-10-01 |
| 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.