Organization Active NPI

Power County Dental Clinic

  • Dentist
  • American Falls, ID
National Provider Identifier
1093187544
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D2038 Issued in ID
Legal business name
POWER COUNTY DENTAL CLINIC
Practice address
843 Reed St
American Falls, ID 83211-1336
Phone
(208) 226-2976
Fax
(208) 226-1068
NPI assigned
Oct 23, 2015
Last updated
Oct 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Authorized official

Name
Gregory A Miller, D.D.S.NPI 1356610398
Title
President
Phone
(208) 226-2976

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D2038 ID Primary

Addresses

Primary practice location

843 Reed St
American Falls, ID 83211-1336

Mailing address

PO Box 189
American Falls, ID 83211-0189
Phone (208) 226-2976

National Provider Directory

National Provider Directory

Locations

843 Reed St
American Falls, ID 83211
Phone (208) 226-2976

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1093187544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "AMERICAN FALLS",
            "state": "ID",
            "postal_code": "832110189",
            "telephone_number": "208-226-2976",
            "fax_number": "208-226-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 REED ST",
            "city": "AMERICAN FALLS",
            "state": "ID",
            "postal_code": "832111336",
            "telephone_number": "208-226-2976",
            "fax_number": "208-226-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER COUNTY DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-226-2976",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D2038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.

Verify at the official NPI Registry.