Active NPI
Jacqueline Kay Neff, DENTURIST
- Denturist
- Coeur D Alene, ID
National Provider Identifier
1184870107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- License
- L.D. 43
- Practice address
- 1119 N 4TH St
Coeur D Alene, ID 83814-3216 - Phone
- (208) 667-8997
- Fax
- (208) 666-1746
- NPI assigned
- Aug 10, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Denturist | 122400000X | L.D. 43 | ID | Primary |
Addresses
Primary practice location
1119 N 4TH St
Coeur D Alene, ID 83814-3216
Mailing address
1119 N 4TH St
Coeur D Alene, ID 83814-3216
Phone (208) 667-8997
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L.D. 43 | ID | MD | Denturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218326400000",
"number": "1184870107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1119 N 4TH ST",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838143216",
"telephone_number": "208-667-8997",
"fax_number": "208-666-1746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 N 4TH ST",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838143216",
"telephone_number": "208-667-8997",
"fax_number": "208-666-1746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEFF",
"first_name": "JACQUELINE",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "DENTURIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-10",
"last_updated": "2008-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": "ID",
"license": "L.D. 43",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.