LON CHAD MCRAE


Address: 1067 S Wells St, Meridian, ID 83642-7997
Phone: 2088958486

LON CHAD MCRAE (NPI# 1558438903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558438903
Entity Type Individual
Full Name LON CHAD MCRAE
Credential DMD
Practice Address 1067 S Wells St
Meridian
ID 83642-7997
Mailing Address 1067 S. Wells St.
Meridian
ID 83642
Practice Telephone 2088958486
Practice Fax Number 2088958540
Mailing Telephone 2088958486
Mailing Fax Number 2088958540
Enumeration Date 2006-11-29
Last Update Date 2015-10-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist D3214 ID Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
ID 805008600 05

Office Location

Street Address 1067 S WELLS ST
City MERIDIAN
State ID
Zip Code 83642-7997

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518581370 Chelsea Ann Hansen Dental Hygienist 1067 S Wells St, Meridian, ID 83642-7997 2020-06-07
1033777891 Caroline Sewell Dentist 1067 S Wells St, Meridian, ID 83642-7997 2019-06-05
1720512478 Katy Pearce Dentist 1067 S Wells St, Meridian, ID 83642-7997 2017-04-19
1457894339 Mountain West Medical Services Pllc Clinic/Center 1067 S Wells St, Suite#110, Meridian, ID 83642-7997 2016-11-28
1750838504 John Mcrae Nurse Practitioner 1067 S Wells St, Meridian, ID 83642-7997 2016-09-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174145684 Ikdo South Meridian LLC Dentist 3839 E Amity Rd, Meridian, ID 83642 2020-05-07
1073133328 Prescription Pad LLC Pharmacy 885 S Vanguard Way, Meridian, ID 83642 2020-04-16
1609412683 Meridian Advanced Psychiatry, LLC Psychiatry & Neurology 1672 S Woodsage Ave., Meridan, ID 83642 2019-11-25
1194378927 Sergey Tsema Occupational Therapist 1259 E Pisa St, Meridian, ID 83642 2019-07-21
1003478629 Chris R Jackson Dentist Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 2019-07-03
1285293118 Morgan Family Medicine Nurse Practitioner 1660 S Woodsage Avenue, Meridian, ID 83642 2019-06-13
1033772793 Nugen Healthcare, Pllc Registered Nurse 2177 S Spoonbill Ave, Meridian, ID 83642 2019-04-18
1811471790 Courtney Crossland Physician Assistant 4949 S Hillsdale Ave., Meridian, ID 83642 2018-09-18
1841771938 Katelyn Perry Counselor 2068 S. Eagle Rd., Meridian, ID 83642 2018-08-27
1114406204 Gem Prep: Meridian LLC Case Management 2750 E.gala Ct., Meridian, ID 83642 2018-08-09
Find all providers in zip 83642

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346870144 Sleep Better Idaho LLC Dentist 3200 N Leslie Way, Meridian, ID 83646-5362 2020-01-21
1003478629 Chris R Jackson Dentist Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 2019-07-03
1598144198 Signature Smiles Dentist 3200 N Leslie Way Ste 110, Meridian, ID 83646-5362 2015-05-28
1497192876 Taylor Farland Dentist 2300 North Hills, Meridian, MS 39305 2013-05-27
1043562143 Meridian Smiles Dentistry, PC Dentist 2274 N Eagle Rd Ste 130, Meridian, ID 83646-6285 2012-10-12
1366707796 Scott Richard Thompson Dentist 6700 N Linder Rd, Meridian, ID 83646-6606 2012-07-11
1477861334 Accure Dental and Dentures Dentist 1505 S Eagle Rd, Ste. 150, Meridian, ID 83642-9346 2010-09-14
1184944290 Matthew Joel Harris Dentist 2300 N Hills St, Meridian, MS 39305-2633 2010-06-11
1801119367 Meridian Dental Associates Dentist 1411 22nd Ave., Meridian, MS 39301-2046 2010-03-11
1528293255 Gaylan Chris Holdaway Dentist 3325 N Ten Mile Rd # 140, Meridian, ID 83646-5409 2009-05-26
Find all providers in MERIDIAN

Competitor

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City MERIDIAN
Zip Code 83642

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Dataset Information

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.

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