DENTAL HEALTH CARE WITH HEART (NPI# 1710021506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710021506 |
| Entity Type | Organization |
| Organization Name | DENTAL HEALTH CARE WITH HEART |
| Practice Address |
823 Center Ave Payette ID 83661 |
| Practice Telephone | 2086421333 |
| Practice Fax Number | 2086429060 |
| Mailing Telephone | 2086421333 |
| Mailing Fax Number | 2086429060 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHERIE DILLON (CEO) |
| Authorized Official Telephone | 2086421333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D1434 | HI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 028072 | 05 |
| Street Address |
823 CENTER AVE |
| City | PAYETTE |
| State | ID |
| Zip Code | 83661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790821122 | Ronald Eugene Carroll | Family Medicine | 823 Center Ave, Payette, ID 83661-2535 | 2007-01-30 |
| 1932550845 | Ben Barbot | Nurse Practitioner | 823 Center Ave, Payette, ID 83661-2535 | 2016-06-22 |
| 1588942304 | Higher Connection Inc | Social Worker | 823 Center Ave, Payette, ID 83661-2535 | 2011-07-27 |
| 1902063548 | Theodore A Fricke | Dentist | 823 Center Ave, Payette, ID 83661-2535 | 2008-05-21 |
| 1053521344 | Healthcare With Heart LLC | Nurse Practitioner | 823 Center Ave, Payette, ID 83661-2535 | 2007-05-23 |
| 1700910726 | Timothy Trees | Chiropractor | 823 Center Ave, Payette, ID 83661-2535 | 2007-03-14 |
| 1205972544 | Alisha Lorraine Phillips | Nurse Practitioner | 823 Center Ave, Payette, ID 83661-2535 | 2007-01-30 |
| 1881730133 | Beatrice Susan Carroll | Social Worker | 823 Center Ave, Payette, ID 83661-2535 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811279268 | Victoria L Wallace | Pharmacist | 405 S 8th Street, Payette, ID 83661 | 2011-09-12 |
| 1619056694 | James H Moore | Dentist | 925 2nd Ave No, Payette, ID 83661 | 2006-11-02 |
| 1831279538 | Justin Craig Smith | Dentist | 1105 3rd Ave North, Payette, ID 83661 | 2006-10-17 |
| 1295781110 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 405 S Main St, Payette, ID 83661 | 2006-05-25 |
| 1225270523 | Norma Jean Hershey | Counselor | 695 2nd Ave S, North Entrance, Payette, ID 83661-0694 | 2009-04-01 |
| 1558498097 | Idahodhwbh Payettamhclinic | Clinic/Center | 515 16th Ave N, Payette, ID 83661-2047 | 2007-02-28 |
| 1689984254 | Idaho Dept of Health & Welfare | Clinic/Center | 515 16th Ave N, Payette, ID 83661-2047 | 2010-10-18 |
| 1154459444 | Idahodhwbh3 Payette Cmh Psr | Clinic/Center | 515 16th Ave N, Payette, ID 83661-2047 | 2007-03-01 |
| 1568590073 | Idahodhwbh3 Payette Amh Psr | Clinic/Center | 515 16th Ave N, Payette, ID 83661-2047 | 2007-02-28 |
| 1992773998 | Spooner Eye Care Sc | Optometrist | 1611 River St, Payette, ID 83661-2073 | 2006-03-08 |
| Find all providers in zip 83661 | ||||
| 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 |
|---|---|---|---|---|
| 1730276080 | Janean Lewis | Dentist | 1105 3rd Ave N, Payette, ID 83661-2407 | 2006-10-06 |
| 1154338325 | Albion E. Borgholthaus | Dentist | 811 Center Ave, Payette, ID 83661-2535 | 2006-08-01 |
| 1528089356 | Valley Family Heatlh Care, Inc | Dentist | 1501 Ne 10th Ave, Payette, ID 83661-5422 | 2006-07-21 |
| 1134657364 | Valley Family Health Care | Dentist | 1501 Ne 10th Ave, Payette, ID 83661-5420 | 2017-06-01 |
| 1689036303 | Dustin W Reese | Dentist | 1441 Ne 10th Ave, Payette, ID 83661-5420 | 2016-03-22 |
| 1902063548 | Theodore A Fricke | Dentist | 823 Center Ave, Payette, ID 83661-2535 | 2008-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891304556 | Birchwood Dental, Pllc | Dentist | 3325 N Ten Mile Rd Ste 140, Meridian, ID 83646-6951 | 2020-07-29 |
| 1588273635 | Atlantis Dental Care, P.a. | Dentist | 13238 W Persimmon Ln Ste 100, Boise, ID 83713-1968 | 2020-07-24 |
| 1235747338 | Dentists of Boise and Orthodontics, PC | Dentist | 7500 W State St Ste 110, Boise, ID 83714-6074 | 2020-07-15 |
| 1346895232 | Tejasi Avasare | Dentist | 8321 W Overland Rd, Boise, ID 83709-1640 | 2019-08-07 |
| 1740835248 | Braden Comstock | Dentist | 2329 N Merritt Creek Loop, Coeur D Alene, ID 83814-4950 | 2019-08-02 |
| 1902450430 | Jaren M Thueson | Dentist | 106 E 1st N, Rexburg, ID 83440-1614 | 2019-08-01 |
| 1528610359 | Melissa Marie Pysnak | Dentist | 8850 W Emerald St Ste 150, Boise, ID 83704-4809 | 2019-07-11 |
| 1811555758 | Daniel Whitesitt | Dentist | 14596 Id-41, Rathdrum, ID 83858 | 2019-06-05 |
| 1104483122 | Meghan Cyrena Bristlin | Dentist | 3326 4th St Ste 3, Lewiston, ID 83501-4455 | 2019-05-24 |
| 1124684584 | Trevor Tafoya Dds Victory Dental, Pllc | Dentist | 7421 W Victory Rd, Boise, ID 83709-5106 | 2019-05-11 |
| 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.