NPIMap

Organization Active NPI

Sawtooth Dental PLLC

  • General Practice Dentistry
  • Twin Falls, ID
National Provider Identifier
1164539383
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D3263 Issued in ID
Legal business name
SAWTOOTH DENTAL PLLC
Practice address
1437 Parkview Dr
Twin Falls, ID 83301-3250
Phone
(208) 733-4515
Fax
(208) 733-2757
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Authorized official

Name
Mrs. Kimberly D Deluna
Title
Office Manager
Phone
(208) 733-4515

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D4141 ID
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X D3263 ID Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X D4582 ID
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X D4137 ID

Addresses

Primary practice location

1437 Parkview Dr
Twin Falls, ID 83301-3250

Mailing address

1437 Parkview Dr
Twin Falls, ID 83301-3250
Phone (208) 733-4515

National Provider Directory

National Provider Directory

Locations

1437 Park View Dr
Twin Falls, ID 83301
Phone (208) 733-4515

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1164539383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 PARKVIEW DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013250",
            "telephone_number": "208-733-4515",
            "fax_number": "208-733-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 PARKVIEW DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013250",
            "telephone_number": "208-733-4515",
            "fax_number": "208-733-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAWTOOTH DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "DELUNA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-733-4515",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "ID",
            "license": "D4141",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3263",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D4582",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D4137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.