Active NPI
Jennifer Lindzi Aaberg, DDS
- General Practice Dentistry
- Idaho Falls, ID
National Provider Identifier
1508427642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D-5060
- Practice address
- 2818 S 25TH E
Idaho Falls, ID 83404-6509 - Phone
- (208) 243-8391
- NPI assigned
- Jun 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D-5060 | ID | Primary |
Addresses
Primary practice location
2818 S 25TH E
Idaho Falls, ID 83404-6509
Mailing address
1508 Dodson Dr Apt a
Idaho Falls, ID 83402-4825
Phone (970) 640-8197
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-5060 | ID | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Id Dental Associates, P.C. | Past | Accepting new patients | |
| Kistler Dental PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Idaho Falls, ID
- NPI 1033560578
-
- General Practice Dentistry
- Idaho Falls, ID
- NPI 1780355453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1508427642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1508 DODSON DR APT A",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834024825",
"telephone_number": "970-640-8197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2818 S 25TH E",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834046509",
"telephone_number": "208-243-8391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AABERG",
"first_name": "JENNIFER",
"middle_name": "LINDZI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-27",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ID",
"license": "D-5060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.