Active NPI
Christian C. Cusimano DDS, Ms, PC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Nampa, ID
National Provider Identifier
1083784946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- D-3247-OR
- Legal business name
- CHRISTIAN C. CUSIMANO DDS, MS, PC
- Practice address
- 345 W Iowa Ave
Nampa, ID 83686-2856 - Phone
- (208) 467-4362
- Fax
- (208) 463-9080
- NPI assigned
- Nov 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chris C. Cusimano, DDS, MS
- Title
- Orthodontist
- Phone
- (208) 467-4362
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | D-3247-OR | ID | Primary |
Addresses
Primary practice location
345 W Iowa Ave
Nampa, ID 83686-2856
Mailing address
345 W Iowa Ave
Nampa, ID 83686-2856
Phone (208) 467-4362
National Provider Directory
National Provider DirectoryLocations
345 W Iowa Ave
Nampa, ID 83686
Phone (208) 467-4362
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Nampa, ID
- NPI 1497166235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427932800000",
"number": "1083784946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 W IOWA AVE",
"city": "NAMPA",
"state": "ID",
"postal_code": "836862856",
"telephone_number": "208-467-4362",
"fax_number": "208-463-9080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 W IOWA AVE",
"city": "NAMPA",
"state": "ID",
"postal_code": "836862856",
"telephone_number": "208-467-4362",
"fax_number": "208-463-9080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTIAN C. CUSIMANO DDS, MS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2015-04-02",
"status": "A",
"authorized_official_last_name": "CUSIMANO",
"authorized_official_first_name": "CHRIS",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "ORTHODONTIST",
"authorized_official_telephone_number": "208-467-4362",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS, MS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "ID",
"license": "D-3247-OR",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.