Wood River Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D3816 Issued in ID

Legal business name

WOOD RIVER DENTAL CARE

Practice address

317 S River St
Hailey, ID 83333-8426

Phone

(208) 788-4900

Fax

(208) 788-1122

NPI assigned

Jul 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Daniel T Norris, DDS

Title

Dentist

Phone

(208) 788-4900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1083877674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1006",
            "city": "HAILEY",
            "state": "ID",
            "postal_code": "833331006",
            "telephone_number": "208-788-4900",
            "fax_number": "208-788-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S RIVER ST",
            "city": "HAILEY",
            "state": "ID",
            "postal_code": "833338426",
            "telephone_number": "208-788-4900",
            "fax_number": "208-788-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOD RIVER DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "208-788-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britlynn Ward, LAC
• Michelle Ann Watkins, RDH
• Lawrence I Weiner, M.D.
• Whitewater Woodriver Oral Surgery
• Brooke Nichole Wilkins, MYO THERAPIST
• Wood River Family Medicine PLLC
• Wood River Family Medicine, PLLC
• Wood River Waldorf Methods School, a Public Charter School, Inc.
• Kathryn A Woods, M.D.
• Emily Zell, LMSW

• General Practice Dentistry in Hailey, ID
• Providers in Hailey, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.