REBECCA LYNN WESTERBERG (NPI# 1598081556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598081556 |
| Entity Type | Individual |
| Full Name | REBECCA LYNN WESTERBERG |
| Credential | LD |
| Practice Address |
2124 Blaine St Caldwell ID 83605-4426 |
| Practice Telephone | 2084540311 |
| Mailing Telephone | 2084540311 |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122400000X | Denturist | LD-32 | ID | Dental Providers |
| Street Address |
2124 BLAINE ST |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605-4426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174051403 | Josh Robert Westerberg | Denturist | 2124 Blaine St, Caldwell, ID 83605-4426 | 2017-05-31 |
| 1215465471 | New Smile Inc. | Denturist | 2124 Blaine St, Caldwell, ID 83605 | 2017-05-31 |
| 1700294568 | Public Denture Center | Dental Laboratory | 2124 Blaine St, Caldwell, ID 83605-4426 | 2014-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| Find all providers in zip 83605 | ||||
| Taxonomy Code | 122400000X |
| Grouping | Dental Providers |
| Classification | Denturist |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174051403 | Josh Robert Westerberg | Denturist | 2124 Blaine St, Caldwell, ID 83605-4426 | 2017-05-31 |
| 1215465471 | New Smile Inc. | Denturist | 2124 Blaine St, Caldwell, ID 83605 | 2017-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750944344 | Amanda Jodi Rowe | Denturist | 10480 W Garverdale Ct Ste 804a, Boise, ID 83704-5477 | 2019-04-18 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1093165524 | Cody Waid | Denturist | 1833 N Lakes Pl, Meridian, ID 83646-1921 | 2016-06-15 |
| 1366800583 | Nicholas Sander | Denturist | 124 11th Ave N, Buhl, ID 83316-1602 | 2016-02-02 |
| 1659760684 | Charles Rollin Westerberg | Denturist | 6710 W. Overland Rd., Boise, ID 83709 | 2015-01-14 |
| 1720419674 | Denture Clinic of Pocatello, Inc. | Denturist | 115 S 15th Ave Ste D, Pocatello, ID 83201-4052 | 2013-12-03 |
| 1053614248 | Public Denture Center | Denturist | 6710 W Overland Rd, Boise, ID 83709-2032 | 2010-12-10 |
| 1689990426 | Denture Service LLC | Denturist | 330 5th St, Lewiston, ID 83501-2408 | 2010-04-19 |
| 1386875268 | Fred Elmer Giovanini | Denturist | 505 1st Street, Suite A, Idaho Falls, ID 83401 | 2009-07-27 |
| 1013151083 | Glen M Castor | Denturist | 306 12th Ave S, Nampa, ID 83651-4246 | 2009-04-21 |
| 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.