Drostan N Orme, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D3986 Issued in ID

Practice address

150 2ND St
Box 218
Melba, ID 83641-5199

Phone

(208) 495-1011

Fax

(208) 495-1012

NPI assigned

Aug 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043221807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836530009",
            "telephone_number": "208-467-4431",
            "fax_number": "208-467-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 2ND ST",
            "address_2": "BOX 218",
            "city": "MELBA",
            "state": "ID",
            "postal_code": "836415199",
            "telephone_number": "208-495-1011",
            "fax_number": "208-495-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORME",
        "first_name": "DROSTAN",
        "middle_name": "N",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Custom RX LLC (Custom Rx Pharmacy Melba)
• Anastasia Katrina Marisa Deforge
• Shanna Renee Dewey, DOULA
• Anneliese Taylor Haws, DDS
• Jamie Lynn Hendricks, FNP-BC, RN
• Revive Recovery
• Anne E Rushing, MSN, MAC, FNP
• Dan L Watt, DDS

• General Practice Dentistry in Melba, ID
• Providers in Melba, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.