NPIMap

Organization Active NPI

Human Dynamics and Diagnostics

  • Community/Behavioral Health Agency
  • Salmon, ID
National Provider Identifier
1043425432
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HUMAN DYNAMICS AND DIAGNOSTICS
Practice address
803 Monroe St Ste 2
Salmon, ID 83467-5036
Phone
(208) 524-4953
Fax
(208) 524-7335
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nikola Andersen
Title
Office Manager
Phone
20852444953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

803 Monroe St Ste 2
Salmon, ID 83467-5036

Mailing address

2267 Teton PLZ
Idaho Falls, ID 83404-6486
Phone (208) 524-4953

Other identifiers 1

IdentifierTypeStateIssuer
807347100MedicaidID

National Provider Directory

National Provider Directory
Tax ID family
Human Dynamics and Diagnostics21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1043425432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2267 TETON PLZ",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046486",
            "telephone_number": "208-524-4953",
            "fax_number": "208-524-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 MONROE ST STE 2",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834675036",
            "telephone_number": "208-524-4953",
            "fax_number": "208-524-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN DYNAMICS AND DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "NIKOLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "20852444953"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807347100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salmon, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.