Sandpoint Pediatrics LLP

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

M-4954 Issued in ID

Legal business name

SANDPOINT PEDIATRICS LLP

Doing business as

Sandpoint Pediatrics In Bonners Ferry

Practice address

420 N 2ND Ave
100
Sandpoint, ID 83864-1552

Phone

(208) 265-2242

Fax

(208) 265-8214

NPI assigned

Jun 27, 2006

Last updated

Aug 22, 2020By 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

Mrs. Becky Shelton

Title

Manager

Phone

(208) 265-2242

Specialties & licenses 2

Addresses

Other names 1

• Sandpoint Pediatrics In Bonners Ferry Doing business as

Locations

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.

• George V Deland, MD

  • Pediatrics Physician
  • Sandpoint, ID
  • NPI 1518959337
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114954179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N 2ND AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641552",
            "telephone_number": "208-265-2242",
            "fax_number": "208-265-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N 2ND AVE",
            "address_2": "100",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641552",
            "telephone_number": "208-265-2242",
            "fax_number": "208-265-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDPOINT PEDIATRICS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-265-2242",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "ID",
            "license": "M-4954",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "ID",
            "license": "M6447",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandpoint Pediatrics In Bonners Ferry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandpoint Family Services, LLC
• Sandpoint Health Care, PLLC
• Sandpoint Medical Investors, LLC (Life Care Center of Sandpoint)
• Sandpoint Medical Massage and Bodyworks
• Sandpoint Orthopedics, PC
• Sandpoint Physical Therapy & Aquatic Center
• Sandpoint Physical Therapy PC
• Sandpoint Psychotherapy LLC
• Sandpoint Public Charter School Inc.
• Sandpoint Super Drug Clinical

• Pediatric Adolescent Medicine Physician in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Pediatric Adolescent Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.