NPIMap

Organization Active NPI

Rigby Dental, Inc.

  • Dentist
  • Rigby, ID
National Provider Identifier
1124465059
Registry record updated Jun 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D-4432 Issued in ID
Legal business name
RIGBY DENTAL, INC.
Practice address
127 1/2 E Short St
Rigby, ID 83442-1422
Phone
(208) 745-6536
Fax
(208) 745-0006
NPI assigned
Jun 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2013

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

Authorized official

Name
Dr. Daniel P Yates, DMDNPI 1972850444
Title
Doctor
Phone
(216) 835-3574

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D-4432 ID Primary

Addresses

Primary practice location

127 1/2 E Short St
Rigby, ID 83442-1422

Mailing address

127 1/2 E Short St
Rigby, ID 83442-1422
Phone (208) 745-6536

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370044800000",
    "number": "1124465059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 1/2 E SHORT ST",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834421422",
            "telephone_number": "208-745-6536",
            "fax_number": "208-745-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 1/2 E SHORT ST",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834421422",
            "telephone_number": "208-745-6536",
            "fax_number": "208-745-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIGBY DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-01",
        "last_updated": "2013-06-01",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "216-835-3574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ID",
            "license": "D-4432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rigby, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2013; 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.