MRS. HEIDI MARIE VAN GIFFEN (NPI# 1700099694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700099694 |
| Entity Type | Individual |
| Full Name | MRS. HEIDI MARIE VAN GIFFEN |
| Credential | L.D. |
| Practice Address |
6023 N. Eagle Rd Boise ID 83713 |
| Mailing Address |
6054 N. Bennington Way Boise ID 83713 |
| Practice Telephone | 2083368873 |
| Mailing Telephone | 2083368873 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2019-02-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122400000X | Denturist | LD-106 | ID | Dental Providers |
| N | 122400000X | Denturist | DT-DO-10112253 | OR | Dental Providers |
| Street Address |
6023 N. EAGLE RD |
| City | BOISE |
| State | ID |
| Zip Code | 83713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902332 | Kidscare Home Health of Idaho, LLC | Home Health | 1835 Wildwood Street, Boise, ID 83713 | 2018-11-30 |
| 1417463928 | Kimberly Ann Bohrer | Behavioral Analyst | 12053 W Hickory Dr, Boise, ID 83713 | 2017-12-19 |
| 1407371891 | Emir Hadzic | Optometrist | 13239 W. Fernleaf St., Boise, ID 83713 | 2017-08-07 |
| 1518336650 | Alliance Physical Medicine | Nurse Practitioner | 13909 W Wainwright Drive, Boise, ID 83713 | 2015-09-18 |
| 1083038335 | Jan L Rehder | Nurse Practitioner | 13150 W Persimmon Lane, Boise, ID 83713 | 2014-02-06 |
| 1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
| 1659667459 | Jayson Clark | Dentist | 4274 N Eagle Road, Boise, ID 83713 | 2011-06-21 |
| 1043503659 | Steven Anthony Eckhoff | Physician Assistant | 11662 W Arlen St, Boise, ID 83713 | 2011-05-16 |
| 1790923621 | Christie Dudash Flynn | Physician Assistant | 12273 W Mcmillian Road, Boise, ID 83713 | 2009-01-30 |
| 1699930404 | Dennis J. Garpetti, Dds, P.C. | Dentist | 13108 West Persimmon Lane, Boise, ID 83713 | 2008-07-21 |
| Find all providers in zip 83713 | ||||
| Taxonomy Code | 122400000X |
| Grouping | Dental Providers |
| Classification | Denturist |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750944344 | Amanda Jodi Rowe | Denturist | 10480 W Garverdale Ct Ste 804a, Boise, ID 83704-5477 | 2019-04-18 |
| 1659760684 | Charles Rollin Westerberg | Denturist | 6710 W. Overland Rd., Boise, ID 83709 | 2015-01-14 |
| 1053614248 | Public Denture Center | Denturist | 6710 W Overland Rd, Boise, ID 83709-2032 | 2010-12-10 |
| 1629115761 | Gennady S Babichenko | Denturist | 10480 W Garverdale Ct Ste 804b, Boise, ID 83704-5477 | 2007-01-30 |
| 1770623910 | Babichenko Dental Lab | Denturist | 10480 W Garverdale Ct, Suite 804b, Boise, ID 83704-5411 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1720419674 | Denture Clinic of Pocatello, Inc. | Denturist | 115 S 15th Ave Ste D, Pocatello, ID 83201-4052 | 2013-12-03 |
| 1689990426 | Denture Service LLC | Denturist | 330 5th St, Lewiston, ID 83501-2408 | 2010-04-19 |
| 1598081556 | Rebecca Lynn Westerberg | Denturist | 2124 Blaine St, Caldwell, ID 83605-4426 | 2010-04-15 |
| 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 |
| 1609045681 | Carla Roxann Wolfrum | Denturist | 204 E Superior St, Suite #9, Sandpoint, ID 83864-1275 | 2008-02-25 |
| 1316125479 | Jeffrey Alan Kollmann | Denturist | 1120 12th Avenue South, Nampa Denture Clinic, Nampa, ID 83651 | 2008-01-31 |
| 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.