Advanced Dental PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ADVANCED DENTAL PC

Practice address

25 N 1St E
Preston, ID 83263-1325

Phone

(208) 852-0770

Fax

(208) 852-3294

NPI assigned

Aug 16, 2019

Last updated

Aug 16, 2019By 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. Ryan Hirschi, DDS

Title

Owner/Dentist

Phone

(208) 852-0770

Specialties & licenses 1

Addresses

Other names 3

• Advanced Dental Other name
• Advanced Dental Center Other name
• Dr. Ryan Hirschi Other name

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.

• Brett D. Naylor, D.D.S.

  • General Practice Dentistry
  • Preston, ID
  • NPI 1649212689
  NPD (past)

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1093361818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N 1ST E",
            "city": "PRESTON",
            "state": "ID",
            "postal_code": "832631325",
            "telephone_number": "208-852-0770",
            "fax_number": "208-852-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N 1ST E",
            "city": "PRESTON",
            "state": "ID",
            "postal_code": "832631325",
            "telephone_number": "208-852-0770",
            "fax_number": "208-852-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "HIRSCHI",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "208-852-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dental",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Advanced Dental Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Dr. Ryan Hirschi",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shalain Abrams
• Aegis Idaho LLC (Aegis Home Health and Hospice)
• Aegis Idaho LLC (Aegis Home Health and Hospice)
• Alan D Holt (Western Anesthesia Relief)
• Trent Beutler Alder, LMSW
• Kimberly Gary Allen, RPH

• Dental Clinic/Center in Preston, ID
• Providers in Preston, 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 Aug 16, 2019; 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.