Active NPI
Rickheim, DDS, Ms, PLLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Hayden, ID
National Provider Identifier
1376439752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- 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, PLLC
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 PLLC
- 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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Post Falls, ID
- NPI 1679469050
-
- Oral and Maxillofacial Surgery (Dentist)
- Hayden, ID
- NPI 1811883291
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
NPPES NPI RegistryPrimary 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
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.