NPIMap

Organization Active NPI

Human Dynamics and Diagnostics

  • Case Management Agency
  • Kellogg, ID
National Provider Identifier
1962680371
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
HUMAN DYNAMICS AND DIAGNOSTICS
Practice address
404 W Cameron Ave # a
Kellogg, ID 83837-2111
Phone
(208) 524-4953
Fax
(208) 524-7335
NPI assigned
Feb 7, 2008
Last updated
Nov 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Authorized official

Name
Nikola Andersen
Title
Office Manager
Phone
(208) 524-4953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

404 W Cameron Ave # a
Kellogg, ID 83837-2111

Mailing address

404 W Cameron Ave # a
Kellogg, ID 83837-2111
Phone (208) 524-4953

Other identifiers 1

IdentifierTypeStateIssuer
807961403MedicaidID

National Provider Directory

National Provider Directory
Tax ID family
Human Dynamics and Diagnostics21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Locations

404 W Cameron Ave
#A
Kellogg, ID 83837
Phone (208) 524-4953

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1962680371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 W CAMERON AVE # A",
            "city": "KELLOGG",
            "state": "ID",
            "postal_code": "838372111",
            "telephone_number": "208-524-4953",
            "fax_number": "208-524-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 W CAMERON AVE # A",
            "city": "KELLOGG",
            "state": "ID",
            "postal_code": "838372111",
            "telephone_number": "208-524-4953",
            "fax_number": "208-524-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN DYNAMICS AND DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "NIKOLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-524-4953"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807961403",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kellogg, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.