Palouse Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D-4108-PD Issued in ID

Legal business name

PALOUSE PEDIATRIC DENTISTRY

Practice address

1246 W a St
Moscow, ID 83843-2277

Phone

(208) 882-9999

Fax

(208) 882-9998

NPI assigned

May 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Karen M Sept, D.M.D.NPI 1003993445

Title

Owner

Phone

(208) 882-9999

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Marie Sept, DMD

  • Pediatric Dentistry
  • Moscow, ID
  • NPI 1003993445
  NPD (past) Authorized official

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1013175595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 W A ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432277",
            "telephone_number": "208-882-9999",
            "fax_number": "208-882-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 W A ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432277",
            "telephone_number": "208-882-9999",
            "fax_number": "208-882-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOUSE PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "SEPT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-882-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "ID",
            "license": "D-4108-PD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807993200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palouse Area Care & Transport, LLC
• Palouse Foot & Ankle Clinic
• Palouse Holistic Health & Aesthetics
• Palouse Imaging Consultants, PLLC
• Palouse Oral & Maxillofacial Surgery
• Palouse Pelvic Rehabilitation & Physical Therapy, PLLC
• Palouse Prairie Educational Organization
• Palouse Specialty Physicians, P.S.
• Palouse Specialty Physicians, P.S.
• Palouse Surgery Center, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.