Organization Active NPI

Soft Touch Dental

  • General Practice Dentistry
  • Idaho Falls, ID
National Provider Identifier
1033443478
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SOFT TOUCH DENTAL
Practice address
3350 S 15 TH E
Idaho Falls, ID 83404
Phone
(208) 522-4700
NPI assigned
Oct 1, 2009
Organization subpart
Yes
Parent organization
SOFT TOUCH DENTALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2009

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

Authorized official

Name
Kim Wood
Title
Receptionist
Phone
(208) 522-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3350 S 15 TH E
Idaho Falls, ID 83404

Mailing address

3350 S 15TH E
Idaho Falls, ID 83404

Other identifiers 1

IdentifierTypeStateIssuer
806709800MedicaidID

National Provider Directory

National Provider Directory
Part of
Soft Touch Dental

NPI Registry JSON

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1033443478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 S 15TH E",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 S 15 TH E",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83404",
            "telephone_number": "208-522-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOFT TOUCH DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOFT TOUCH DENTAL",
        "enumeration_date": "2009-10-01",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "208-522-4700"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806709800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.