Provider Type Icon

JORDAN E. HIGHAM PA NPI 1437595881


NPI Information

NPI: 1437595881
Provider Name: JORDAN E. HIGHAM PA

Doing Business As: JUST 4 KIDDS DENTISTRY FOR CHILDREN

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
929 S UTAH AVE
IDAHO FALLS, ID
ZIP 83402
Phone: (208) 529-2199
Get Directions

JORDAN E. HIGHAM PA is a pediatric dentistry dentist in Idaho Falls, ID. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. JORDAN E. HIGHAM PA NPI is 1437595881. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Just 4 Kidds Dentistry For Children.

The provider's business location address is:

929 S UTAH AVE
IDAHO FALLS, ID
ZIP 83402-322
Phone: (208) 529-2199

The provider's authorized official is Jordan Ellison Higham .
The authorized official title is Owner/dentist and has the following contact phone number (208) 529-2199.

The enumeration date for this NPI number is 5/13/2013 and was last updated on 5/13/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric DentistryD-4205-PDIDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11710186432OTHERIDAHOSOLO PRACTICE NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.