Public Denture Center

Primary specialty

DenturistTaxonomy code 122400000X

License

LD32 Issued in ID

Legal business name

PUBLIC DENTURE CENTER

Practice address

6710 W Overland Rd
Boise, ID 83709-2032

Phone

(208) 323-7790

NPI assigned

Dec 10, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Rebecca Lynn Westerberg, LD

Title

Denturist Half Owner

Phone

(208) 323-7790

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Public Denture Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Public Denture Center

  • Dental Laboratory
  • Caldwell, ID
  • NPI 1700294568
  NPD tax ID

Locations

Practitioners 1

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

• Charles Rollin Westerberg, LD LICENSED DENTURIS

  • Denturist
  • Boise, ID
  • NPI 1659760684
  NPD (past)

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1053614248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837092032",
            "telephone_number": "208-323-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837092032",
            "telephone_number": "208-323-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC DENTURE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-10",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "WESTERBERG",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DENTURIST  HALF OWNER",
        "authorized_official_telephone_number": "208-323-7790",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LD"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Denturist",
            "state": "ID",
            "license": "LD32",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9227466",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Proximity Telehealth LLC
• Proximity Telehealth LLC
• Noelle Graves Pruitt, DNP, MN, FNP-C
• Psychiatry 121 PLLC
• Psychology Services, PLLC
• Public Health District IV (Central District Health Department)
• Irene Pucciarelli, DO
• Devin R Pugmire, PSS
• Jeffrey M Pugsley, MD
• Amy Suzanne Pullen, PHARM.D.

• Denturist in Boise, ID
• Providers in Boise, ID by specialty
• Denturist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.