OrganizationActive
Evan Hathaway DDS PA
NPI 1851552194 · Dentist · Eagle, ID
Evan Hathaway DDS PA is a Dentist organization in Eagle, ID (NPI 1851552194).
Provider details
- NPI number
- 1851552194
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Evan Hathaway, Owner Pres Corporation(208) 378-9704
- License
- D2040 (ID)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1217 E Iron Eagle Dr
Eagle, ID 83616
Phone: (208) 377-1161
Fax: (208) 938-0567
Street-level locationGet directions
Mailing address
1217 E Iron Eagle Dr
Eagle, ID 83616
Registry dates
- Enumerated
- 2008-06-19
- Last updated
- 2008-06-19
Frequently asked questions
- What is Evan Hathaway DDS PA's NPI number?
- Evan Hathaway DDS PA's National Provider Identifier (NPI) is 1851552194, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evan Hathaway DDS PA?
- Evan Hathaway DDS PA is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Evan Hathaway DDS PA located?
- Evan Hathaway DDS PA's practice location on file with NPPES is 1217 E Iron Eagle Dr, Eagle, ID 83616.
- What is Evan Hathaway DDS PA's phone number?
- The practice phone number listed in the NPPES registry for Evan Hathaway DDS PA is (208) 377-1161.
- Who is the authorized official for Evan Hathaway DDS PA?
- The authorized official listed on Evan Hathaway DDS PA's NPPES record is Evan Hathaway, Owner Pres Corporation. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evan Hathaway DDS PA's NPI active?
- Yes — Evan Hathaway DDS PA's NPI (1851552194) is active in the NPPES registry as of the last update on 2008-06-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.