Active NPI
Damon Taylor Armstrong, D.D.S.
- General Practice Dentistry
- Blackfoot, ID
National Provider Identifier
1164583761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3540
- Practice address
- 625 W Pacific St Ste 4
Blackfoot, ID 83221-2034 - Phone
- (208) 785-3310
- Fax
- (208) 785-3393
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Blackfoot, ID
- NPI 1588837496
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170213001264 | ID | Order and Referring Only - Other (Non-Physician) | 3577846807 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Damon T. Armstrong D.D.S., P.C | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3540 | ID | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
625 W Pacific St Ste 4
Blackfoot, ID 83221-2034
Mailing address
625 W Pacific St Ste 4
Blackfoot, ID 83221-2034
Phone (208) 785-3310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 10, 2008.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207785600000",
"number": "1164583761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 W PACIFIC ST STE 4",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832212034",
"telephone_number": "208-785-3310",
"fax_number": "208-785-3393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 W PACIFIC ST STE 4",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832212034",
"telephone_number": "208-785-3310",
"fax_number": "208-785-3393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARMSTRONG",
"first_name": "DAMON",
"middle_name": "TAYLOR",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2008-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ID",
"license": "3540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blackfoot, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.