Organization Active NPI

Richard Dee Stoker D.M.D., PLLC

  • General Practice Dentistry
  • Idaho Falls, ID
National Provider Identifier
1154074623
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RICHARD DEE STOKER D.M.D., PLLC
Practice address
3350 S 15TH E
Idaho Falls, ID 83404-8321
Phone
(208) 522-4700
NPI assigned
Feb 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Authorized official

Name
Richard D Stoker, DMD
Title
Owner
Phone
(208) 589-9107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3350 S 15TH E
Idaho Falls, ID 83404-8321

Mailing address

3350 S 15TH E
Idaho Falls, ID 83404-8321
Phone (208) 522-4700

National Provider Directory

National Provider Directory
Tax ID family
Richard Dee Stoker DMD PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1154074623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 S 15TH E",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048321",
            "telephone_number": "208-522-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 S 15TH E",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048321",
            "telephone_number": "208-522-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD DEE STOKER D.M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "STOKER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-589-9107",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.