Rickheim, DDS, Ms, PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

RICKHEIM, DDS, MS, PLLC

Practice address

1701 W Prairie Ave Ste 103
Hayden, ID 83835-8421

Phone

(208) 216-0373

NPI assigned

Jun 13, 2025

Organization subpart

Yes

Parent organization

RICKHEIM, DDS, MS, PLLCAs reported in NPPES

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

Authorized official

Name

Cassie Wieth

Title

Director of Payor Relations

Phone

(623) 267-8121

Specialties & licenses 1

Addresses

Other names 1

• Timberline Oral Surgery & Dental Implants Doing business as

Tax ID family

Rickheim DDS Ms PLLC3 organizations share this tax ID, including this one

Part of

Rickheim DDS Ms PLLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Rickheim, DDS, Ms, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hayden, ID
  • NPI 1376439752
  NPD tax ID
• Rickheim, DDS, Ms, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Post Falls, ID
  • NPI 1679469050
  NPD tax ID

Practitioners 1

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

• Wayne W Loney Jr., DDS, MS

  • Oral and Maxillofacial Surgery (Dentist)
  • Houston, TX
  • NPI 1336258151
  NPD (past)

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

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1811883291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W PRAIRIE AVE STE 103",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358421",
            "telephone_number": "208-216-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W PRAIRIE AVE STE 103",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358421",
            "telephone_number": "208-216-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICKHEIM, DDS, MS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RICKHEIM, DDS, MS, PLLC",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "WIETH",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_title_or_position": "DIRECTOR OF PAYOR RELATIONS",
        "authorized_official_telephone_number": "623-267-8121"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timberline Oral Surgery & Dental Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Restore Teletherapy, LLC
• Restored Health PLLC
• Beven Jean Rich, ATC, MT
• Deanna Marie Richmond, MA, LPC
• Rickheim, DDS, Ms, PLLC
• Courtney Riddle, LCSW
• Terrance A Riske, MD
• Ashley Roberts
• Kaitlin Rodell, MPH
• Jace Devon Rogers, PHARMD

• Oral and Maxillofacial Surgery (Dentist) in Hayden, ID
• Providers in Hayden, ID by specialty
• Oral and Maxillofacial Surgery (Dentist) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.