NA-Ree Kim Malan, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

61540 Issued in CA

Practice address

2274 N Eagle Rd
Suite 130
Meridian, ID 83646-6615

Phone

(208) 893-5440

NPI assigned

Sep 11, 2007

Last updated

Dec 23, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Meridian Smiles Dentistry, PC

  dba Meridian Smiles Dentistry and Orthodontics

  • Dentist
  • Meridian, ID
  • NPI 1043562143
  NPD (past)

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1396930517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2274 N EAGLE RD",
            "address_2": "SUITE 130",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466615",
            "telephone_number": "208-893-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2274 N EAGLE RD",
            "address_2": "SUITE 130",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466615",
            "telephone_number": "208-893-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAN",
        "first_name": "NA-REE",
        "middle_name": "KIM",
        "name_prefix": "Mrs.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00011089",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61540",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D-4667",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maitri Community Services
• Maitri Community Services
• Jacob Scott Majors, M.D.
• Kayla Makar
• Makenna Farms LLC
• Elizabeth Anne Malarkey, FNP-C
• Christine Maldonado, PH.D.
• Sekayi Anika Malek, MOT, OTR/L
• Olga Malevich
• Erik Malm

• Dentist in Meridian, ID
• Providers in Meridian, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.