Active NPI
David a Kent MD Chartered
- Psychiatry Physician
- Garden City, ID
National Provider Identifier
1447428735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- M5609
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David A Kent
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatry Physician
- Garden City, ID
- NPI 1215965199
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.