DR. ROBERT GLENN MCMINN (NPI# 1457570921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457570921 |
| Entity Type | Individual |
| Full Name | DR. ROBERT GLENN MCMINN |
| Credential | DDS MSD |
| Practice Address |
1133 Call Creek Dr. Pocatello ID 83201 |
| Mailing Address |
2061 Sunrise Way Pocatello ID 83201-1985 |
| Practice Telephone | 2082320464 |
| Practice Fax Number | 2082320863 |
| Mailing Telephone | 2082370129 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D-1435-OR | ID | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548741010 | Robert Paul Mcminn | Nurse Practitioner | 1 Freedom Way, Augusta, GA 30904 | 2018-08-23 |
| 1457411308 | Robert W. Mcminn | Dentist | 100 Springhouse Ct, Suite 200, Hendersonville, TN 37075-1609 | 2006-12-11 |
| 1942264908 | Robert R Mcminn Jr. | Nurse Anesthetist, Certified Registered | 5300 North St, Nacogdoches, TX 75965-1370 | 2006-04-14 |
| Street Address |
1133 CALL CREEK DR. |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598989840 | Michael G. Summers | Dentist | 1133 Call Creek Dr., Pocatello, ID 83201-3000 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| 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 |
|---|---|---|---|---|
| 1740457332 | Michael G. Summers Dds, Ms, Pa | Dentist | 1133 Call Creek, Suite B, Pocatello, ID 83202 | 2008-05-13 |
| 1629298369 | John Robert Davis | Dentist | 115 South 15th Avenue, Suite F, Pocatello, ID 83201-4068 | 2007-04-26 |
| 1598989840 | Michael G. Summers | Dentist | 1133 Call Creek Dr., Pocatello, ID 83201-3000 | 2007-04-11 |
| 1962504563 | Eric D Johnson | Dentist | 625 E Alameda, Pocatello, ID 83201 | 2006-09-02 |
| 1780604702 | Rufus Van Dyke IIi | Dentist | 1501 Bench Rd, Pocatello, ID 83201-2443 | 2006-07-20 |
| 1487802096 | Rufus O. Van Dyke, D.d.s., M.cl.d | Dentist | 1455 Bench Rd, Suite A, Pocatello, ID 83201-5083 | 2008-09-08 |
| 1508080599 | Southeast Idaho Orthodontics, Pllc | Dentist | 625 E Alameda Rd, Pocatello, ID 83201-3622 | 2007-04-12 |
| 1942424916 | Jeffrey T Mcminn | Dentist | 625 E Alameda Rd, Pocatello, ID 83201-3622 | 2007-04-12 |
| 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 |
| 1356815427 | Jkb Orthodontics | Dentist | 621 N Midland Blvd, Nampa, ID 83651-6525 | 2019-01-11 |
| 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 |
| 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.