DR. TAYLOR J JARDINE (NPI# 1508093212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508093212 |
| Entity Type | Individual |
| Full Name | DR. TAYLOR J JARDINE |
| Credential | D.D.S. |
| Practice Address |
72 S 1st E Rexburg ID 83440-1902 |
| Mailing Address |
Po Box 18 Saint Anthony ID 83445-0018 |
| Practice Telephone | 2083564900 |
| Practice Fax Number | 2083591600 |
| Mailing Telephone | 2083564900 |
| Mailing Fax Number | 2086244112 |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2020-10-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D-4224 | ID | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 325 E Main St, Saint Anthony, ID 834451546 | 2083564900 | 2086244117 |
| Street Address |
72 S 1ST E |
| City | REXBURG |
| State | ID |
| Zip Code | 83440-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770684003 | Jacob Kimball Curtis | Family Medicine | 72 S 1st E, Rexburg, ID 83440-1902 | 2006-09-26 |
| 1720518350 | Karl Bodily Klingler | Dentist | 72 S 1st E, Rexburg, ID 83440-1902 | 2017-06-15 |
| 1124403258 | Upper Valley Community Health Services, Inc. | Clinic/Center | 72 S 1st E, Rexburg, ID 83440-1902 | 2015-07-30 |
| 1669897989 | Bryant Hansen | Physician Assistant | 72 S 1st E, Rexburg, ID 83440-1902 | 2014-02-24 |
| 1467880773 | Whittney Kay Miller | Nurse Practitioner | 72 S 1st E, Rexburg, ID 83440-1902 | 2013-10-23 |
| 1568760635 | Alice Dawn Manwaring | Social Worker | 72 S 1st E, Rexburg, ID 83440-1902 | 2011-03-14 |
| 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 | 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 |
|---|---|---|---|---|
| 1902450430 | Jaren M Thueson | Dentist | 106 E 1st N, Rexburg, ID 83440-1614 | 2019-08-01 |
| 1477088086 | Apple Tree Dental | Dentist | 33 Winn Dr, Suite 2, Rexburg, ID 83440-5277 | 2017-04-21 |
| 1033461660 | James Cannon Allen Dds PC | Dentist | 106 E 1st North, Rexburg, ID 83440 | 2012-10-05 |
| 1790905495 | Bryan D Lee | Dentist | 360 E. Main St., Rexburg, ID 83440 | 2007-04-26 |
| 1275757346 | Howard Keith Couch | Dentist | 1014 Erikson Dr, Suite A, Rexburg, ID 83440-5297 | 2007-04-12 |
| 1720107667 | James C. Thomason | Dentist | 859 S Yellowstone Hwy Ste 2901, Rexburg, ID 83440-2635 | 2007-03-29 |
| 1831213149 | Eagle Rock Dental Care of Rexburg | Dentist | 556 Trejo St Ste C, Rexburg, ID 83440-2626 | 2007-03-19 |
| 1427189984 | Scott Edmond Wilkes | Dentist | 56 Professional Plz, Rexburg, ID 83440-2047 | 2007-03-08 |
| 1669532230 | Bo Crofoot | Dentist | 44 S Center St, Rexburg, ID 83440-1916 | 2006-12-12 |
| 1306945001 | Layne E Hacking | Dentist | 242 E Main Street, Rexburg, ID 83440 | 2006-09-21 |
| Find all providers in REXBURG | ||||
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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.