Koolridez L.L.C.

Primary specialty

TaxiTaxonomy code 344600000X

License

2015-129 Issued in ID

Legal business name

KOOLRIDEZ L.L.C.

Practice address

1803 Ellis Ave
Caldwell, ID 83605-4810

Phone

(208) 880-9981

NPI assigned

Jun 24, 2016

Organization subpart

No

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

Authorized official

Name

David Daniel Oconnor

Title

Manager

Phone

(208) 880-9981

Specialties & licenses 1

Addresses

Tax ID family

Kool Ridez LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Kool Ridez LLC

  • Case Management Agency
  • Caldwell, ID
  • NPI 1871044883
  NPD tax ID

Locations

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466726400000",
    "number": "1356792998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 CALDWELL BLVD TRLR 51",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511578",
            "telephone_number": "208-880-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 ELLIS AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054810",
            "telephone_number": "208-880-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOOLRIDEZ L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A",
        "authorized_official_last_name": "OCONNOR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-880-9981"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "ID",
            "license": "2015-129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirby Clendenon DDS
• Rikki Koberlein, RN
• Steven J Koga, M.D.
• Lisa R Koltes, MD
• Kool Ridez LLC
• Stephanie Koopman, LMSW
• Jaret Koudelka, PHARM. D.
• Leanne M Kovick, CFM
• KSS Dental Group PLLC
• Gloria Marie Lamb-Condosta, PHARMD

• Taxi in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Taxi in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.