NPIMap

Organization Active NPI

Jordan E. Higham PA

Doing business as Just 4 kiDDS Dentistry For Children

  • Pediatric Dentistry
  • Idaho Falls, ID
National Provider Identifier
1437595881
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D-4205-PD Issued in ID
Legal business name
JORDAN E. HIGHAM PA
Doing business as
Just 4 kiDDS Dentistry For Children
Practice address
929 S Utah Ave
Idaho Falls, ID 83402-3322
Phone
(208) 529-2199
NPI assigned
May 13, 2013
Last updated
May 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Authorized official

Name
Dr. Jordan Ellison Higham, DDSNPI 1710186432
Title
Owner/Dentist
Phone
(208) 529-2199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X D-4205-PD ID Primary

Addresses

Primary practice location

929 S Utah Ave
Idaho Falls, ID 83402-3322

Mailing address

929 S Utah Ave
Idaho Falls, ID 83402-3322
Phone (208) 529-2199

Other identifiers 1

IdentifierTypeStateIssuer
1710186432OtherIDSOLO PRACTICE NPI

Other names 1

  • Just 4 kiDDS Dentistry For Children Doing business as

National Provider Directory

National Provider Directory

Locations

929 S Utah Ave
Idaho Falls, ID 83402
Phone (208) 529-2199

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1437595881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 S UTAH AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023322",
            "telephone_number": "208-529-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 S UTAH AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023322",
            "telephone_number": "208-529-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN E. HIGHAM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "HIGHAM",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "ELLISON",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "208-529-2199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "ID",
            "license": "D-4205-PD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOLO PRACTICE NPI",
            "identifier": "1710186432",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Just 4 kiDDS Dentistry For Children",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.