Lineberry Orthodontics

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D3184OR Issued in ID

Legal business name

LINEBERRY ORTHODONTICS

Practice address

13059 W Persimmon LN
Boise, ID 83713-1986

Phone

(208) 658-9470

Fax

(208) 658-0778

NPI assigned

Mar 11, 2009

Last updated

Mar 11, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Laura LineberryNPI 1801061080

Title

Orthodontist

Phone

(208) 658-9470

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Laura Kathleen Lineberry, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Boise, ID
  • NPI 1801061080
  NPD (past) Authorized official

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1154562783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13059 W PERSIMMON LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131986",
            "telephone_number": "208-658-9470",
            "fax_number": "208-658-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13059 W PERSIMMON LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131986",
            "telephone_number": "208-658-9470",
            "fax_number": "208-658-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINEBERRY ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "LINEBERRY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "208-658-9470",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ID",
            "license": "D3184OR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8053305",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick James Lindsay, MD, MBBS
• Ryan Everett Lindsay, DO
• Jennifer Lee Lindstrom, PHARMD
• Lisa Vanette Lindstrom, HIS
• Todd Lindstrom
• Laura Kathleen Lineberry, D.D.S., M.S.
• Abby Linford, PT, DPT
• Lauwrina Lynn Lingelbach, LPC
• Natalie G Linhart, LPC, NCC
• Link Home Therapy Services of Idaho LLC

• Dental Clinic/Center in Boise, ID
• Providers in Boise, 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 Mar 11, 2009; 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.