Active NPI
Kendon Howard
- Pedorthist
- Idaho Falls, ID
National Provider Identifier
1184367179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pedorthist
- Practice address
- 919 S Utah Ave
Idaho Falls, ID 83402-3322 - Phone
- (208) 425-6020
- Fax
- (208) 417-0660
- NPI assigned
- Apr 18, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pedorthist | 224L00000X | Primary |
Addresses
Primary practice location
919 S Utah Ave
Idaho Falls, ID 83402-3322
Mailing address
919 S Utah Ave
Idaho Falls, ID 83402-3322
Phone (208) 425-6020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Mountain Orthopedic and Regenerative Medicine LLC | Multi-Specialty | Current | Accepting new patients |
| Erm Surgical LLC | Current | Accepting new patients | |
| Eagle Rock Medical Center LLC | Multi-Specialty | Current | Accepting new patients |
Locations
919 S Utah Ave
Idaho Falls, ID 83402
Phone (208) 425-6020
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Idaho Falls, ID
- NPI 1083372890
Multi-Specialty
-
- Ambulatory Surgical Clinic/Center
- Idaho Falls, ID
- NPI 1760198816
-
- Podiatrist
- Idaho Falls, ID
- NPI 1588294128
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1184367179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 S UTAH AVE",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834023322",
"telephone_number": "208-425-6020",
"fax_number": "208-417-0660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 S UTAH AVE",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834023322",
"telephone_number": "208-425-6020",
"fax_number": "208-417-0660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "KENDON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-18",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "224L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pedorthist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.