Thressa K. Fogleman, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH-2168 Issued in ID

Practice address

2355 American Legion Blvd
Mountain Home, ID 83647-3145

Phone

(208) 587-7949

NPI assigned

Jul 29, 2009

Last updated

Jun 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Thressa Karine Thompson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Unruly Tongue Myofunctional Therapy LLC

  • Specialist
  • Mountain Home, ID
  • NPI 1528684370
  NPD Authorized official
• HSC Dental LLC

  • General Practice Dentistry
  • Mountain Home, ID
  • NPI 1033707120
  NPD

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1790916476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 AMERICAN LEGION BLVD",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836473145",
            "telephone_number": "208-587-7949",
            "fax_number": "208-587-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 AMERICAN LEGION BLVD",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836473145",
            "telephone_number": "208-587-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGLEMAN",
        "first_name": "THRESSA",
        "middle_name": "K.",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-29",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "ID",
            "license": "DH-2168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THRESSA",
            "last_name": "THOMPSON",
            "middle_name": "KARINE",
            "prefix": "MRS.",
            "credential": "RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tiahna E Fairbanks, BA
• Family Vision Care Inc
• Cheryl Lynn Fesperman
• Stacy Lynn Flatt, MS CF SLP
• Paulette A Flores, PH.D.
• Fran's Affordable Rides
• Weston Vern Frandsen
• Karen Anne Galvan, M.D.
• Alejandra Garcia, RDH
• Anna Marie Garvin, RN

• Dental Hygienist in Mountain Home, ID
• Providers in Mountain Home, ID by specialty
• Dental Hygienist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.