Jeppson Endodontics, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D-4167-EN Issued in ID

Legal business name

JEPPSON ENDODONTICS, PLLC

Practice address

101 E Main St
Suite 202
Rexburg, ID 83440-2000

Phone

(208) 357-4826

NPI assigned

Aug 27, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Joshua Jeppson, DDS

Title

Owner

Phone

(208) 357-4826

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1073947958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E MAIN ST",
            "address_2": "SUITE 202",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MAIN ST",
            "address_2": "SUITE 202",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402000",
            "telephone_number": "208-357-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEPPSON ENDODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "JEPPSON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-357-4826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "8121225-9921",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "8121225-9922",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ID",
            "license": "D-4167-EN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindy Jensen, LCSW
• Nathan Daniel Jensen, MSW
• Steffanie Jensen, LMSW
• Stephen M. Jensen, D.O.
• Nichole Ann Jeppesen, FNP-C
• Rebecca M. Jeppson, FNP-C
• Jershan Enterprises Inc.
• JJST Enterprises Corp.
• Karen Wilkinson John, LMSW
• Julianna Howell Johnson, LLMSW

• Dental Clinic/Center in Rexburg, ID
• Providers in Rexburg, 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 Dec 13, 2016; 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.