NPIMap

Individual provider Active NPI

Dallas George Rindfleisch, DO

  • Family Medicine Physician
  • Idaho Falls, ID
National Provider Identifier
1073834974
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
O-0692 Issued in ID
Practice address
3155 Channing Way Ste a
Idaho Falls, ID 83404-7875
Phone
(208) 522-6044
Fax
(208) 523-4862
NPI assigned
Jun 15, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207KA0200X O-0692 ID
Family Medicine Physician 207Q00000X O-0692 ID Primary

Addresses

Primary practice location

3155 Channing Way Ste a
Idaho Falls, ID 83404-7875

Mailing address

3155 Channing Way Ste a
Idaho Falls, ID 83404-7875
Phone (208) 522-6044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130912000103 ID Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 9436393501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
University of New England, College of Osteo Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rindfleisch Family Practice PLLCGroup PAC ID 9335446202, 2 clinicians

Practice addresses (Care Compare)

3155 Channing Way
Suite a
Idaho Falls, ID 83404-7875
Phone (208) 227-0551

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Hospital LLC Multi-Specialty PastSince Jul 24, 2013 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGHDAD/Endpoint/DGHDAD

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1073834974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 CHANNING WAY STE A",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047875",
            "telephone_number": "208-522-6044",
            "fax_number": "208-523-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 CHANNING WAY STE A",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047875",
            "telephone_number": "208-522-6044",
            "fax_number": "208-523-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINDFLEISCH",
        "first_name": "DALLAS",
        "middle_name": "GEORGE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-15",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "ID",
            "license": "O-0692",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-0692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.