Lakeland Family Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LAKELAND FAMILY DENTAL LLC

Practice address

14596 N Highway 41
Rathdrum, ID 83858-8682

Phone

(208) 687-4455

Fax

(208) 687-4456

NPI assigned

Oct 2, 2025

Last updated

Oct 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kyra Luck

Title

Office Manager

Phone

(208) 687-4455

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Chad Stephen Devore, DDS

  • Dentist
  • Rathdrum, ID
  • NPI 1568573962
  NPD (past)
• Daniel Whitesitt, DDS

  • General Practice Dentistry
  • Rathdrum, ID
  • NPI 1811555758
  NPD (past)

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

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1790659746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1030",
            "city": "RATHDRUM",
            "state": "ID",
            "postal_code": "838581030",
            "telephone_number": "208-687-4455",
            "fax_number": "208-687-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14596 N HIGHWAY 41",
            "city": "RATHDRUM",
            "state": "ID",
            "postal_code": "838588682",
            "telephone_number": "208-687-4455",
            "fax_number": "208-687-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "LUCK",
        "authorized_official_first_name": "KYRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-687-4455"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jami Krietzman, RN
• Sarah Gail La Fountaine, LMSW
• Laboratory Corporation of America
• Lakeland Chiropractic PA (Lakeland Chiropractic Clinic)
• Lakeland Family Dental
• Lakeland Immediate Care LLC
• Lakeland Joint School Disrict #272
• Lakeland Physical Therapy and Sports Injuries P a (North Idaho Physical Therapy)
• Keri Gloria Lee
• Lighthouse Counseling LLC

• General Practice Dentistry in Rathdrum, ID
• Providers in Rathdrum, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.