Julio Orlando Escobar, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D-5576-PD Issued in ID

Practice address

1378 N Meridian Rd Ste 150
Kuna, ID 83634-1687

Phone

(208) 615-5544

NPI assigned

Apr 10, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• J O Escobar DDS PLLC

  • Pediatric Dentistry
  • Kirkland, WA
  • NPI 1285434019
  NPD Authorized official
• House, Lee, Mast, McDonald and Nelson, PC

  • Pediatric Dentistry
  • Renton, WA
  • NPI 1770826927
  NPD (past)

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1053554725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 4TH LN S",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336934",
            "telephone_number": "310-344-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1378 N MERIDIAN RD STE 150",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836341687",
            "telephone_number": "208-615-5544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 Duvall Ave NE Ste 140",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980594675",
            "country_code": "US",
            "telephone_number": "425-228-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCOBAR",
        "first_name": "JULIO",
        "middle_name": "ORLANDO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-10",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60607943",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "ID",
            "license": "D-5576-PD",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58096",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "7807",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin David Elliott
• Kevin Michael Elliott, DMD
• Rocky Wade Elsasser, DPT
• Ryan R. Emry, M.ED., M.A., LPC
• Jeffrey Epperson
• Heather Esposito, LPC
• Eyecare Associates of Kuna
• Kelsey Ann Eyolfson, PA
• Falcon Ridge Public Charter School
• Erin Fischer, LPC

• All providers in Kuna, ID
• Pediatric Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.