DR. SHANNON WIDMIER (NPI# 1396842779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396842779 |
| Entity Type | Individual |
| Full Name | DR. SHANNON WIDMIER |
| Credential | D.D. S. P.A. |
| Practice Address |
702 Center Street West Kimberly ID 83341 |
| Mailing Address |
Po Box B Kimberly ID 83341-0010 |
| Practice Telephone | 2084236444 |
| Practice Fax Number | 2084236903 |
| Mailing Telephone | 2084236444 |
| Mailing Fax Number | 2084236903 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D3342 | ID | Dental Providers |
| Street Address |
702 CENTER STREET WEST |
| City | KIMBERLY |
| State | ID |
| Zip Code | 83341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407954191 | Kent J. Allen | Dentist | 702 Center Street West, Kimberly, ID 83341 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047470 | Northstar In Home Support Services | Social Worker | 3323 East B 3600 North, Kimberly, ID 83341 | 2020-03-05 |
| 1851889182 | Ammon Benjamin Birk | Physical Therapist | 940 Ballard Way, Kimberly, ID 83341 | 2018-04-23 |
| 1689161572 | Medsource Mobility LLC | Durable Medical Equipment & Medical Supplies | 319 Highway 30, Unit 3, Kimberly, ID 83341 | 2018-04-17 |
| 1770769325 | Kent J Allen/ Shannon Widmier | Dentist | 702 Center St W, Kimberly, ID 83341 | 2008-01-14 |
| 1710072046 | Helping Hands Sanctuary of Idaho | Psychiatric Hospital | 500 Polk St E, Kimberly, ID 83341 | 2006-10-03 |
| 1841393212 | Troy Alan Williams | Dentist | 1431 North Fillmore St, Twin Falls, ID 83341 | 2006-09-07 |
| 1386269983 | Caroline M Riley | Speech-Language Pathologist | 113 Main Street, Kimberly, ID 83341 | 2020-06-10 |
| 1265512297 | Northwest Bec Corp | Assisted Living Facility | 500 Polk St E, Kimberly, ID 83341 | 2006-10-16 |
| 1760717672 | Albert Paul Middleton | Pharmacist | 210 Main Street South, Kimberly, ID 83341-0000 | 2009-10-09 |
| 1003942913 | Ridley's Family Markets, Inc | Durable Medical Equipment & Medical Supplies | 210 Main St. South, Kimberly, ID 83341-0443 | 2007-02-26 |
| Find all providers in zip 83341 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700241890 | Infinity Dental Pllc | Dentist | 622 Center St W, Kimberly, ID 83341-1720 | 2015-12-16 |
| 1770769325 | Kent J Allen/ Shannon Widmier | Dentist | 702 Center St W, Kimberly, ID 83341 | 2008-01-14 |
| 1750430088 | Daniel Allen Larson | Dentist | 317 E Kimberly Ave, Kimberly, WI 54136-1406 | 2007-01-09 |
| 1407954191 | Kent J. Allen | Dentist | 702 Center Street West, Kimberly, ID 83341 | 2006-09-20 |
| 1548273808 | Edward Theodore Bekx | Dentist | 203 W Kimberly Ave, Kimberly, WI 54136 | 2006-08-15 |
| 1477583870 | Joseph C Ferraro | Dentist | 1037-b Truman St., Kimberly, WI 54136 | 2006-07-03 |
| 1922296466 | Timothy James Bouressa | Dentist | 500 W 3rd St, Pob 96, Kimberly, WI 54136-1305 | 2007-10-10 |
| 1215124862 | Callie Irene Romenesko | Dentist | 1020 Truman St, Unit A, Kimberly, WI 54136-2215 | 2007-09-27 |
| 1215066626 | James Patrick Meyer | Dentist | 1020 Truman St, Suite A, Kimberly, WI 54136-2211 | 2007-03-02 |
| 1790798056 | Kimberly Dental Associates LLP | Dentist | 203 W Kimberly Ave, Kimberly, WI 54136 | 2006-08-15 |
| Find all providers in KIMBERLY | ||||
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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.