Emerald Smiles Dentistry, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

EMERALD SMILES DENTISTRY, PC

Practice address

675 N Milwaukee St Ste 110
Boise, ID 83704-9185

Phone

(208) 593-3221

NPI assigned

Aug 15, 2022

Organization subpart

No

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

Authorized official

Name

Kenneth C Benson, DMD

Title

Owner

Phone

(208) 593-3221

Specialties & licenses 1

Addresses

Other names 1

• Emerald Smiles Dentistry Doing business as

Locations

Practitioners 2

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

• Cierra Kocik, DMD

  • General Practice Dentistry
  • Boise, ID
  • NPI 1811732357
  NPD
• Brandon Astin, D.M.D.

  • Endodontics
  • Meridian, ID
  • NPI 1063870855

  Dentist

  NPD (past)

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1023746294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 N MILWAUKEE ST STE 110",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049185",
            "telephone_number": "208-593-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD SMILES DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-593-3221",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emerald Smiles Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Embracing Within Counseling Services LLC
• Breanna Kay Embury, OTR/L
• Victoria Emenari, DOCTOR OF PHARMACY
• Emerald Medical Investors, LLC
• Emerald Optics LLC
• Emerald Surgical Center LLC
• Emerald West Family Dentistry
• Emergency Responders Health Center, LLC
• Emeritus Corporation
• Jeni T Emerizy, LMSW

• All providers in Boise, ID
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.