Neerings Dental Inc, Dba Teton Valley Dental Center

Primary specialty

DentistTaxonomy code 122300000X

License

D3951 Issued in ID

Legal business name

NEERINGS DENTAL INC, DBA TETON VALLEY DENTAL CENTER

Practice address

235 Wallace Ave
Driggs, ID 83422

Phone

(208) 354-8181

Fax

(208) 354-8182

NPI assigned

Jan 30, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jim Reed Neerings, DDS

Title

Dentist

Phone

(208) 354-8181

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1043633712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "834220791",
            "telephone_number": "208-354-8181",
            "fax_number": "208-354-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 WALLACE AVE",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "83422",
            "telephone_number": "208-354-8181",
            "fax_number": "208-354-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEERINGS DENTAL INC, DBA TETON VALLEY DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "NEERINGS",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "208-354-8181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ID",
            "license": "D3951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Driggs, ID
• Providers in Driggs, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.