JOHN MEMMOTT (NPI# 1801944913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801944913 |
| Entity Type | Individual |
| Full Name | JOHN MEMMOTT |
| Credential | DDS |
| Practice Address |
2300 E 17th St Idaho Falls ID 83404-6504 |
| Mailing Address |
Po Box 2046 Idaho Falls ID 83403-2046 |
| Practice Telephone | 2085258383 |
| Mailing Telephone | 2085258383 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D-1870-PD | ID | Dental Providers |
| Street Address |
2300 E 17TH ST |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-6504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790762524 | Alan Paul Adamson | Optometrist | 2300 E 17th St, Suite 1157, Idaho Falls, ID 83404-6504 | 2005-12-22 |
| 1871931246 | Devin Rex Thompson | Dentist | 2300 E 17th St, Idaho Falls, ID 83404-6504 | 2013-06-07 |
| 1154616258 | Dsm Optometry LLC | Optometrist | 2300 E 17th St, Idaho Falls, ID 83404-6504 | 2011-06-16 |
| 1669703831 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 2300 E 17th St, Grand Teton Mall, Idaho Falls, ID 83404-6504 | 2010-01-27 |
| 1437312865 | Martin Peter Lundell | Optometrist | 2300 E 17th St, Suite 1157, Idaho Falls, ID 83404-6504 | 2008-07-07 |
| 1780847442 | Alan Adamson, Od, PC | Optometrist | 2300 E 17th St, Suite 1157, Idaho Falls, ID 83404-6504 | 2008-07-02 |
| 1649324708 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2300 E 17th St, Grand Teton Mall Ste #1268, Idaho Falls, ID 83404-6504 | 2007-01-23 |
| 1891844379 | Bracken Webb | Dentist | 2300 E 17th St, Idaho Falls, ID 83404-6504 | 2007-01-10 |
| 1265580377 | Charles Hunter | Dentist | 2300 E 17th St, Idaho Falls, ID 83404-6504 | 2007-01-08 |
| 1174671283 | Scott G Tobias | Dentist | 2300 E 17th St, Idaho Falls, ID 83404-6504 | 2007-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| 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 |
|---|---|---|---|---|
| 1710186432 | Jordan Higham | Dentist | 929 S Utah Ave, Idaho Falls, ID 83402-3322 | 2007-07-12 |
| 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 |
| 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 | 83404 |
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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.