NPIMap

Organization Active NPI

JHKK Periodontics, PLLC

  • Periodontics
  • Meridian, ID
National Provider Identifier
1831877679
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
JHKK PERIODONTICS, PLLC
Practice address
2352 S Titanium PL
Meridian, ID 83642-6867
Phone
(208) 377-2777
Fax
(208) 377-3075
NPI assigned
Jul 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Dr. Kip Katseanes, DMD, MSD
Title
Co - Owner/ Doctor
Phone
(843) 530-4854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

2352 S Titanium PL
Meridian, ID 83642-6867

Mailing address

6019 N Eagle Rd
Boise, ID 83713-0997
Phone (208) 377-2777

National Provider Directory

National Provider Directory
Tax ID family
JHKK Periodontics PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2350 S Titanium Pl
Meridian, ID 83642

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1831877679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 N EAGLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837130997",
            "telephone_number": "208-377-2777",
            "fax_number": "208-377-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2352 S TITANIUM PL",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426867",
            "telephone_number": "208-377-2777",
            "fax_number": "208-377-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JHKK PERIODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "KATSEANES",
        "authorized_official_first_name": "KIP",
        "authorized_official_title_or_position": "CO - OWNER/ DOCTOR",
        "authorized_official_telephone_number": "843-530-4854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.