Cherry Lane Kids Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D-4186-PD Issued in ID

Legal business name

CHERRY LANE KIDS DENTISTRY

Practice address

1558 N Crestmont Dr Ste a
Meridian, ID 83642-2194

Phone

(208) 580-7091

Fax

(208) 587-2624

NPI assigned

Sep 13, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Rhonda Marie Elquist

Title

Regional Operations Manager

Phone

(208) 580-7091

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505260800000",
    "number": "1902325749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MOUNTAIN VIEW DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836868867",
            "telephone_number": "208-760-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 N CRESTMONT DR STE A",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422194",
            "telephone_number": "208-580-7091",
            "fax_number": "208-587-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY LANE KIDS DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2017-09-13",
        "status": "A",
        "authorized_official_last_name": "ELQUIST",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "REGIONAL OPERATIONS MANAGER",
        "authorized_official_telephone_number": "208-580-7091",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "ID",
            "license": "D-4186-PD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merrisa Chavez, RD
• Mark B Cheney, DO
• Cherry Heights Family Clinic LLC
• Cherry Lane Dental
• Cherry Lane Family Clinic, PA
• Ciara Chesnut
• Darcy R Cheuvront, PHARMD
• Chiro Idaho Chiropractic PC
• Chirohealth PC
• Chiropractic Billing Center

• Pediatric Dentistry in Meridian, ID
• Providers in Meridian, ID by specialty
• Pediatric Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; 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.