DR. JORDAN HIGHAM (NPI# 1710186432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710186432 |
| Entity Type | Individual |
| Full Name | DR. JORDAN HIGHAM |
| Credential | DDS |
| Practice Address |
929 S Utah Ave Idaho Falls ID 83402-3322 |
| Mailing Address |
370 N State St Box 683 Shelley ID 83274-1141 |
| Practice Telephone | 2085292199 |
| Mailing Telephone | 2083608540 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2009-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D-4205 | ID | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
929 S UTAH AVE |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83402-3322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356795843 | Austin French | Dentist | 929 S Utah Ave, Idaho Falls, ID 83402-3322 | 2016-04-20 |
| 1437595881 | Jordan E. Higham Pa | Dentist | 929 S Utah Ave, Idaho Falls, ID 83402-3322 | 2013-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648015 | Abigail Oakley | Counselor | Tueller Counseling Services, 2275 W Broadway Suite G, Idaho Falls, ID 83402 | 2020-10-30 |
| 1265041479 | Fresenius Medical Care Snake River | Clinic/Center | 3195 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-24 |
| 1295352391 | Fresenius Medical Care Idaho Falls, LLC | Clinic/Center | 3193 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-06 |
| 1952923765 | Sterling Provider Group | Clinic/Center | 7017 Daisy Lane, Idaho Falls, ID 83402 | 2020-05-14 |
| 1528604188 | Leslie Hendrian | Massage Therapist | 86 N Kaylee Circle, Idaho Falls, ID 83402 | 2019-11-19 |
| 1154966760 | Christine Nicole Cardona | Counselor | 855 N. Captital Ave Ste 1, Idaho Falls, ID 83402 | 2019-11-07 |
| 1750847786 | Brandi S Warnke | Social Worker | 254 E Street, Suite B, Idaho Falls, ID 83402 | 2019-02-14 |
| 1013402809 | Kailey Lynn Moore | Pharmacist | 376 West 18th Street, Idaho Falls, ID 83402 | 2018-06-25 |
| 1407368616 | Jessica Owsley | Social Worker | 2275 W Broadway Ste G, Idaho Falls, ID 83402 | 2017-10-27 |
| 1427419886 | Becky Allen | Developmental Therapist | 150 Shoupe Ave, Idaho Falls, ID 83402 | 2016-03-14 |
| Find all providers in zip 83402 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659412724 | Randall G. Smith | Dentist | 3365 S Holmes Ave, Idaho Falls, ID 83404-7981 | 2007-02-09 |
| 1700447596 | Idaho Falls Pediatric Dentistry, Pllc | Dentist | 3387 Merlin Dr, Idaho Falls, ID 83404-7405 | 2019-06-24 |
| 1376028324 | Clubhouse Pediatric Dentistry of Idaho Falls | Dentist | 3411 Merlin Dr, Idaho Falls, ID 83404-7430 | 2018-09-26 |
| 1831504125 | Kailey Anne Smith Housley | Dentist | 3387 Merlin Dr, Idaho Falls, ID 83404-7405 | 2014-06-25 |
| 1376969360 | Thomas Baker | Dentist | 1900 John Adams Pkwy, Idaho Falls, ID 83401-4366 | 2014-03-14 |
| 1437595881 | Jordan E. Higham Pa | Dentist | 929 S Utah Ave, Idaho Falls, ID 83402-3322 | 2013-05-13 |
| 1679747588 | Alligator Pediatric Dentistry,pllc | Dentist | 3365 S Holmes Ave, Idaho Falls, ID 83404-7981 | 2008-04-22 |
| 1851511372 | Mark Marlowe | Dentist | 3365 S Holmes Ave, Idaho Falls, ID 83404-7981 | 2007-04-26 |
| 1801944913 | John Memmott | Dentist | 2300 E 17th St, Idaho Falls, ID 83404-6504 | 2007-01-08 |
| 1326131319 | Drostan Gregg Baker | Dentist | 1900 John Adams Pkwy, Idaho Falls, ID 83401-4366 | 2006-10-02 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83402 |
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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.