Plumtree Orthodontics PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PLUMTREE ORTHODONTICS PLLC

Practice address

1609 12TH Ave Rd
Nampa, ID 83686-6102

Phone

(208) 467-5259

NPI assigned

Jan 23, 2024

Organization subpart

No

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

Authorized official

Name

Sean Alexander Wasden

Title

Coo

Phone

(208) 965-9415

Specialties & licenses 1

Addresses

Practitioners 1

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

• Patrick A Niland, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Nampa, ID
  • NPI 1154427979
  NPD (past)

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1134980402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 3RD ST S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 12TH AVE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866102",
            "telephone_number": "208-467-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLUMTREE ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "WASDEN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "208-965-9415"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rachel Pirouz, MS, OTR/L
• Deanna M Pitman, D.O.
• Valerie Lynn Platt, LCPC
• Bryan C Pogue Sr., MD
• Pointview Counseling LLC
• Kristen Pooley, LMSW
• Ashley Laren Popadics, PA-C
• Hanna Victoria Popma, LCPC

• Dental Clinic/Center in Nampa, ID
• Providers in Nampa, 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 Jan 23, 2024; 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.