Organization Active NPI

Rickheim, DDS, Ms, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hayden, ID
National Provider Identifier
1376439752
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
RICKHEIM, DDS, MS, PLLC
Practice address
1701 W Prairie Ave Ste 202
Hayden, ID 83835-8421
Phone
(208) 213-8385
NPI assigned
Jun 13, 2025
Organization subpart
Yes
Parent organization
RICKHEIM, DDS, MS, PLLCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Cassie Wieth
Title
Director of Payor Relations
Phone
(623) 267-8121

National Provider Directory

National Provider Directory
Tax ID family
Rickheim DDS Ms PLLC3 organizations share this tax ID, including this one
Part of
Rickheim DDS Ms PLLC

Other organizations with this tax ID 2

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

NPPES NPI Registry

Primary practice location

1701 W Prairie Ave Ste 202
Hayden, ID 83835-8421

Mailing address

1701 W Prairie Ave Ste 202
Hayden, ID 83835-8421
Phone (208) 213-8385

Other names 1

NPPES NPI Registry
  • Peach Orthodontics Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 13, 2025.

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1376439752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W PRAIRIE AVE STE 202",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358421",
            "telephone_number": "208-213-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W PRAIRIE AVE STE 202",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358421",
            "telephone_number": "208-213-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICKHEIM, DDS, MS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RICKHEIM, DDS, MS, PLLC",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "WIETH",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_title_or_position": "DIRECTOR OF PAYOR RELATIONS",
        "authorized_official_telephone_number": "623-267-8121"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peach Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayden, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.