NPIMap

Organization Active NPI

Gregory S Holbrook, DMD, PC

  • General Practice Dentistry
  • Salmon, ID
National Provider Identifier
1144490046
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D-3250 Issued in ID
Legal business name
GREGORY S HOLBROOK, DMD, PC
Practice address
1301 Main St
Suite 9
Salmon, ID 83467-4451
Phone
(208) 756-2899
Fax
(208) 756-4686
NPI assigned
Mar 6, 2008
Last updated
Mar 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Dr. Gregory S Holbrook, DMDNPI 1417975772
Title
President
Phone
(208) 756-2899

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
General Practice Dentistry 1223G0001X D-3250 ID Primary

Addresses

Primary practice location

1301 Main St
Suite 9
Salmon, ID 83467-4451

Mailing address

1301 Main St
Suite 9
Salmon, ID 83467-4451
Phone (208) 756-2899

Other identifiers 4

IdentifierTypeStateIssuer
006084OtherDELTA DENTAL
6A135OtherIDBLUE CROSS OF IDAHO
9201997OtherMETLIFE
00087549OtherUNITED CONCORDIA

National Provider Directory

National Provider Directory

Locations

1301 Main St
Ste 9
Salmon, ID 83467
Phone (208) 756-2899

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1144490046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 MAIN ST",
            "address_2": "SUITE 9",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834674451",
            "telephone_number": "208-756-2899",
            "fax_number": "208-756-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MAIN ST",
            "address_2": "SUITE 9",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834674451",
            "telephone_number": "208-756-2899",
            "fax_number": "208-756-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY S HOLBROOK, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "HOLBROOK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-756-2899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-3250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "006084",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "6A135",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METLIFE",
            "identifier": "9201997",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "00087549",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salmon, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.