Active NPI
David A Kent, M.D.
- Psychiatry Physician
- Garden City, ID
National Provider Identifier
1215965199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- M5609
- Practice address
- 5561 N Glenwood St Ste B
Garden City, ID 83714-1336 - Phone
- (208) 863-0860
- Fax
- (208) 954-5595
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | M5609 | ID | Primary |
Addresses
Primary practice location
5561 N Glenwood St Ste B
Garden City, ID 83714-1336
Mailing address
2375 S Cobalt Point Way Ste 102
Meridian, ID 83642-8029
Phone (208) 863-0860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050204000236 | ID | Practitioner - Psychiatry | 1850379439 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1986
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5561 N Glenwood St
Suite B
Garden City, ID 83714-1336
Phone (208) 810-4155
5561 N Glenwood St B
Boise, ID 83714-1336
Hospital & facility affiliations
- Saint Alphonsus Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M5609 | ID | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David a Kent MD Chartered | Psychiatry | Current | Accepting new patients |
| HBS of Meridian, LLC | Past | Accepting new patients |
Locations
413 N Allumbaugh St
Ste 101
Boise, ID 83704
Phone (208) 323-1125
5561 N Glenwood St
#B
Garden City, ID 83714
Phone (208) 863-0860
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.
-
- Psychiatric Hospital
- Meridian, ID
- NPI 1003397878
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boise, ID
- NPI 1184155426
Hospital
-
- General Acute Care Hospital
- Boise, ID
- NPI 1457414948
Hospital
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
Hospital
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Hospital
-
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1215965199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2375 S COBALT POINT WAY STE 102",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836428029",
"telephone_number": "208-863-0860",
"fax_number": "208-954-5595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5561 N GLENWOOD ST STE B",
"city": "GARDEN CITY",
"state": "ID",
"postal_code": "837141336",
"telephone_number": "208-863-0860",
"fax_number": "208-954-5595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENT",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ID",
"license": "M5609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden City, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.