MRS. KACIE BENSON (NPI# 1922536234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922536234 |
| Entity Type | Individual |
| Full Name | MRS. KACIE BENSON |
| Practice Address |
1441 Ne 10th Ave Payette ID 83661-5420 |
| Practice Telephone | (208) 642-7364 |
| Practice Fax Number | 2086424565 |
| Mailing Telephone | 2086427364 |
| Mailing Fax Number | 2086424565 |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 124Q00000X | Dental Hygienist | H7514 | OR | Dental Providers |
| Y | 124Q00000X | Dental Hygienist | DH-3120-EA | ID | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2327 Sw 4th Ave, Ontario, OR 979141851 | 5418890052 |
| Street Address |
1441 NE 10TH AVE |
| City | PAYETTE |
| State | ID |
| Zip Code | 83661-5420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497759088 | Yvette Rene Sweet | Family Medicine | 1441 Ne 10th Ave, Payette, ID 83661-5420 | 2005-06-10 |
| 1518508506 | Renee Zubin Parsons | Nurse Practitioner | 1441 Ne 10th Ave, Payette, ID 83661-5420 | 2019-10-01 |
| 1447713649 | Andrew Silsby | Nurse Practitioner | 1441 Ne 10th Ave, Payette, ID 83661-5420 | 2019-04-13 |
| 1750840138 | Ryan Willmore | Physician Assistant | 1441 Ne 10th Ave, Payette, ID 83661-5420 | 2019-03-15 |
| 1467916213 | Rebecca Hammon | Nurse Practitioner | 1441 Ne 10th Ave, Payette, ID 83661-5420 | 2019-01-25 |
| 1457826638 | Sonia Cervantes | Social Worker | 1441 Ne 10th Ave, Payette, ID 83661-5420 | 2018-10-04 |
| 1184135337 | Valley Family Health Care, Inc | Clinic/Center | 1441 Ne 10th Ave, Payette, ID 83661-5420 | 2017-10-16 |
| 1760916449 | Travis Miner | Social Worker | 1441 Ne 10th Ave, Payette, ID 83661-5420 | 2017-04-19 |
| 1689036303 | Dustin W Reese | Dentist | 1441 Ne 10th Ave, Payette, ID 83661-5420 | 2016-03-22 |
| 1770954398 | Johary Rodriguez | Nurse Practitioner | 1441 Ne 10th Ave, Payette, ID 83661-5420 | 2015-10-08 |
| Find all providers in the same location | ||||
| 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 |
| 1710021506 | Dental Health Care With Heart | Dentist | 823 Center Ave, Payette, ID 83661 | 2007-02-16 |
| 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 |
| Find all providers in zip 83661 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134685407 | Lindsey Lee Taylor | Dental Hygienist | 1501 Ne 10th Ave, Payette, ID 83661-5422 | 2019-02-12 |
| 1225406234 | Abigail Bradford | Dental Hygienist | 1441 Ne 10th Ave, Payette, ID 83661-5420 | 2015-09-08 |
| 1013340702 | Nicole Ann Marie Young | Dental Hygienist | 1441 Ne 10th Ave, Payette, ID 83661-5420 | 2013-08-16 |
| 1609002450 | Lindsay Marie Campbell | Dental Hygienist | 1441 Ne 10th Ave, Payette, ID 83661-5420 | 2009-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898578 | Michelle Ann Watkins | Dental Hygienist | 721 Northstar Dr, Hailey, ID 83333-8501 | 2020-07-07 |
| 1124644364 | Teena Barnes | Dental Hygienist | 3915 E 154 N, Rigby, ID 83442-5727 | 2020-06-23 |
| 1467966499 | Melanie Hill | Dental Hygienist | 550 W Sunnyside Rd Ste 7, Idaho Falls, ID 83402-4642 | 2017-11-29 |
| 1326575325 | Terrin Loe | Dental Hygienist | 358-786 Long Road, Plummer, ID 83851 | 2017-05-22 |
| 1427589936 | Jamie Rowe | Dental Hygienist | 581 N Whitewater Park Blvd Apt D202, Boise, ID 83702-5689 | 2017-03-26 |
| 1104207216 | Caring Smiles Pllc | Dental Hygienist | 8744 W. Fairview Ave, Boise, ID 83704 | 2015-06-15 |
| 1376940668 | Cecilia Jo Hickam | Dental Hygienist | 1121 E. State Street, Suite - 102-d, Eagle, ID 83616 | 2014-12-02 |
| 1790916476 | Thressa K. Fogleman | Dental Hygienist | 2355 American Legion Blvd, Mountain Home, ID 83647-3145 | 2009-07-29 |
| 1053563619 | Kellie Renee Bergendahl | Dental Hygienist | 427 12th St, Plummer, ID 83851-4000 | 2008-10-15 |
| 1972720936 | Idaho State University | Dental Hygienist | 999 Martin Luther King Jr. Way, Pocatello, ID 83209-8048 | 2007-04-19 |
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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.