Organization Active NPI

Little Smiles Pedatric Dentistry of North Idaho

  • Pediatric Dentistry
  • Post Falls, ID
National Provider Identifier
1023296605
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D-3781 Issued in ID
Legal business name
LITTLE SMILES PEDATRIC DENTISTRY OF NORTH IDAHO
Practice address
602 N Calgary CT
Suite 201
Post Falls, ID 83854-4000
Phone
(208) 777-9331
Fax
(208) 777-9335
NPI assigned
Feb 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Dr. Brad S Barlow, DDS
Title
President
Phone
(208) 777-9331

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X D-3781 ID Primary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X D-4050 ID

Addresses

Primary practice location

602 N Calgary CT
Suite 201
Post Falls, ID 83854-4000

Mailing address

1221 Michigan St
Sandpoint, ID 83864-1745
Phone (208) 255-2228

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1023296605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 MICHIGAN ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641745",
            "telephone_number": "208-255-2228",
            "fax_number": "208-777-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N CALGARY CT",
            "address_2": "SUITE 201",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838544000",
            "telephone_number": "208-777-9331",
            "fax_number": "208-777-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE SMILES PEDATRIC DENTISTRY OF NORTH IDAHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "BARLOW",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-777-9331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "ID",
            "license": "D-3781",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "ID",
            "license": "D-4050",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

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