Organization Active NPI

David a Kent MD Chartered

  • Psychiatry Physician
  • Garden City, ID
National Provider Identifier
1447428735
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
M5609 Issued in ID
Legal business name
DAVID A KENT MD CHARTERED
Practice address
5516 N Glenwood St
Ste B
Garden City, ID 83714-9219
Phone
(208) 863-0860
NPI assigned
Feb 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Authorized official

Name
David A KentNPI 1215965199
Title
President
Phone
(208) 863-0860

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
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X M5609 ID Primary

Addresses

Primary practice location

5516 N Glenwood St
Ste B
Garden City, ID 83714-9219

Mailing address

5561 N Glenwood St Ste B
Garden City, ID 83714-1336
Phone (208) 863-0860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050204000299 ID Part B Supplier - Clinic/Group Practice 5890746077 Receives reassigned benefits from 1 practitioner
Practice locations: Garden City, ID

National Provider Directory

National Provider Directory

Locations

5561 N Glenwood St
#B
Garden City, ID 83714
Phone (208) 863-0860

5516 N Glenwood St
Ste B
Garden City, ID 83714
Phone (208) 863-0860

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1447428735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5561 N GLENWOOD ST STE B",
            "city": "GARDEN CITY",
            "state": "ID",
            "postal_code": "837141336",
            "telephone_number": "208-863-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5516 N GLENWOOD ST",
            "address_2": "STE B",
            "city": "GARDEN CITY",
            "state": "ID",
            "postal_code": "837149219",
            "telephone_number": "208-863-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A KENT MD CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-863-0860"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ID",
            "license": "M5609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.