Desert Valley Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D1664 Issued in ID

Legal business name

DESERT VALLEY DENTISTRY

Practice address

716 Yellowstone Ave
Pocatello, ID 83201-4407

Phone

(208) 478-1295

Fax

(208) 232-5490

NPI assigned

Jun 7, 2017

Last updated

Jul 21, 2022By 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

Dr. Larry Walden Bybee, DDS

Title

Dentist

Phone

(208) 478-1295

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083143739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 YELLOWSTONE AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014407",
            "telephone_number": "208-478-1295",
            "fax_number": "208-232-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 YELLOWSTONE AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014407",
            "telephone_number": "208-478-1295",
            "fax_number": "208-232-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT VALLEY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BYBEE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "WALDEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "208-478-1295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ID",
            "license": "D1664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denture Clinic of Pocatello, Inc.
• Aneree H Desai, M.D
• Edward Desano, MD
• Mikayla Louise Deschamps
• Deseret Care, LLC (Love Hospice)
• Nancy L Devine, P.T.
• Cara Devoe, DPT
• Diabetes and Internal Medicine
• Diagnostic Imaging Service of Idaho
• Diagnostic Radiologists of South Florida, P.a.

• Dental Clinic/Center in Pocatello, ID
• Providers in Pocatello, 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 Jul 21, 2022; 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.