NPIMap

Organization Active NPI

Mike B Dingman DDS PA

  • Dental Clinic/Center
  • Twin Falls, ID
National Provider Identifier
1053582817
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MIKE B DINGMAN DDS PA
Practice address
1186 Eastland Dr N Ste a
Twin Falls, ID 83301-8973
Phone
(208) 733-6074
NPI assigned
Mar 19, 2008
Last updated
Mar 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Authorized official

Name
Mike B Dingman, DDS
Title
President
Phone
(208) 733-6074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

1186 Eastland Dr N Ste a
Twin Falls, ID 83301-8973

Mailing address

1186 Eastland Dr N Ste a
Twin Falls, ID 83301-8973
Phone (208) 733-6074

National Provider Directory

National Provider Directory

Locations

1186 Eastland Dr N
#A
Twin Falls, ID 83301
Phone (208) 733-6074

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1053582817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1186 EASTLAND DR N STE A",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833018973",
            "telephone_number": "208-733-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1186 EASTLAND DR N STE A",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833018973",
            "telephone_number": "208-733-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE B DINGMAN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "DINGMAN",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-733-6074",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 19, 2008; 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.