Coeur D Alene Family Dentisrty

Primary specialty

DentistTaxonomy code 122300000X

License

D4087 Issued in ID

Legal business name

COEUR D ALENE FAMILY DENTISRTY

Practice address

2201 N Government Way
Suite G
Coeur D Alene, ID 83814-3658

Phone

(208) 664-9129

Fax

(208) 664-9120

NPI assigned

Apr 23, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Tyler Scofield Morton

Title

Consultant

Phone

(208) 626-2625

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.

• Steven Thomas Gatten, D.D.S.

  • General Practice Dentistry
  • Coeur D Alene, ID
  • NPI 1811081276
  NPD (past)

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1144640509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 N GOVERNMENT WAY",
            "address_2": "SUITE G",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143658",
            "telephone_number": "208-664-9129",
            "fax_number": "208-664-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 N GOVERNMENT WAY",
            "address_2": "SUITE G",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143658",
            "telephone_number": "208-664-9129",
            "fax_number": "208-664-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COEUR D ALENE FAMILY DENTISRTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "SCOFIELD",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "208-626-2625",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "ID",
            "license": "D4087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Allen Cobb, LMSW
• John D Coburn, DMD
• Whitney Kay Cochran, LMSW
• Coeur D Alene Dental Center
• Coeur D Alene Denture Clinic
• Coeur D Alene Homes Phase II
• Coeur D Alene Massage School LLC
• Coeur D Alene of Cascadia
• Coeur D Alene Optical, Inc.
• Coeur D Alene Physical Therapy and Sports Medicine PA

• Dentist in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.