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Active NPI 1750403341 Individual Practitioner Male Practitioner

Dr. Philip Openshaw , DDS

Dentist - General Practice • Middleton, ID

Professional Overview & Biography Verified Profile Summary

Dr. Philip Openshaw, DDS is a registered healthcare professional specializing in Dentist - General Practice in Middleton, ID. Practice services are available at 201 S PARADISE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

201 S Paradise Ave

Middleton, ID 836445809

Telephone 2085850048
Fax 2084665359
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Middleton, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Middleton, ID (781 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-03-18
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ID D-4989

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License CA 34032

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

400 E Orangeburg Ave, Suite 4

Modesto, CA 953505342

Phone: 2095244763

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Alma Martinez , DMD

Dentist - Prosthodontics

NPI 1023390523

Doctor of Dental Medicine

Dr. Ernest Meshack-Hart , DDS

Dentist - General Practice

NPI 1033138235

Doctor of Dental Surgery

Daniel Lefler , PA

Physician Assistant

NPI 1033620315

Physician Assistant

Mary Goodspeed , PMHNP

Nurse Practitioner

NPI 1053069047

Psychiatric-Mental Health Nurse Practitioner

Dr. Stuart Black , MD

Family Medicine

NPI 1053351361

Doctor of Medicine (M.D.)

Megan George , PA-C

Physician Assistant - Medical

NPI 1053560367

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location March 18, 2021

Registered at 201 S PARADISE AVE, MIDDLETON, ID 836445809 (Tel: 2085850048)

📍
Updated Business Mailing Address March 18, 2021

Registered at PO BOX 9, NAMPA, ID 836530009 (Tel: 2084674431)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2021

Dentist (License #D-4989 in ID)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 400 E ORANGEBURG AVE, SUITE 4, MODESTO, CA 953505342 (Tel: 2095244763)

📍
Updated Business Mailing Address July 08, 2007

Registered at 400 E ORANGEBURG AVE, SUITE 4, MODESTO, CA 953505342 (Tel: 2095244763)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PHILIP OPENSHAW, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #34032 in CA)

🟢
Initial NPI Registration & Enumeration April 04, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750403341
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 04, 2007
Last Update: March 18, 2021
Sole Proprietor: No

Mailing Address

Po Box 9

Nampa, ID 836530009

Phone: 2084674431

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.