Onsite Dental, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D3315 Issued in ID

Legal business name

ONSITE DENTAL, PLLC

Practice address

524 E Fujii Dr
Nampa, ID 83686-6906

Phone

(844) 667-4834

Fax

(208) 376-3616

NPI assigned

Mar 26, 2015

Last updated

Mar 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rose Mary Milner

Title

VP of Operations

Phone

(208) 514-4739

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1053705178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 E FUJII DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866906",
            "telephone_number": "844-667-4834",
            "fax_number": "208-376-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 E FUJII DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866906",
            "telephone_number": "844-667-4834",
            "fax_number": "208-376-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONSITE DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "MILNER",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "208-514-4739"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ID",
            "license": "D3315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquilyn Olson
• Megan Jo Olson, LMSW
• Preston S Omer, M.D.
• Lisa Omori, L.P.C.
• Omotayo Kehinde Onanubosi, FNP-BC
• Matthew Scott Orme
• Bonna R Ormond, DNP, FNP-BC
• Taylor Ormsby
• Julia Ostyn, PHARMD
• Michelle Ott, SLP

• Dental Clinic/Center in Nampa, ID
• Providers in Nampa, ID by specialty
• Dental Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.