Organization Active NPI

Falls Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Twin Falls, ID
National Provider Identifier
1043321110
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
D-3515-OR Issued in ID
Legal business name
FALLS ORTHODONTICS PLLC
Practice address
2085 Dawson Dr.
Twin Falls, ID 83301
Phone
(208) 734-4600
Fax
(208) 734-4607
NPI assigned
Aug 31, 2006
Organization subpart
Yes
Parent organization
FALLS ORTHODONTICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Dr. Shane L. Schvaneveldt, M.CI.D.NPI 1407029101
Title
Doctor-Owner
Phone
(208) 734-4600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X D-3515-OR ID Primary

Addresses

Primary practice location

2085 Dawson Dr.
Twin Falls, ID 83301

Mailing address

2085 Dawson Dr.
Twin Falls, ID 83301
Phone (208) 734-4600

Other identifiers 1

IdentifierTypeStateIssuer
806662500MedicaidID

Other names 1

  • Orthodontic Specialists of Magic Valley Former legal business name

National Provider Directory

National Provider Directory
Part of
Falls Orthodontics PLLC

Locations

318 Falls Ave
Twin Falls, ID 83301

2085 Dawson Dr
Twin Falls, ID 83301
Phone (208) 724-4600

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1043321110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 DAWSON DR.",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "83301",
            "telephone_number": "208-734-4600",
            "fax_number": "208-734-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 DAWSON DR.",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "83301",
            "telephone_number": "208-734-4600",
            "fax_number": "208-734-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLS ORTHODONTICS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FALLS ORTHODONTICS",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "SCHVANEVELDT",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DOCTOR-OWNER",
        "authorized_official_telephone_number": "208-734-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.CI.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "ID",
            "license": "D-3515-OR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806662500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthodontic Specialists of Magic Valley",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.