Individual provider Active NPI

William F Traynor, DDS

  • Pediatric Dentistry
  • Twin Falls, ID
National Provider Identifier
1174776025
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D-4870-PD Issued in ID
Practice address
1186 Eastland Dr N Ste B
Twin Falls, ID 83301-8973
Phone
(208) 733-9331
Fax
(208) 732-1222
NPI assigned
Oct 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D008904 AZ
General Practice Dentistry 1223G0001X 30.022913 OH
Pediatric Dentistry 1223P0221X D-4870-PD ID Primary

Addresses

Primary practice location

1186 Eastland Dr N Ste B
Twin Falls, ID 83301-8973

Mailing address

1186 Eastland Dr N Ste B
Twin Falls, ID 83301-8973
Phone (208) 733-9331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D008904AZMDGeneral Practice Dentistry
30.022913OHMDGeneral Practice Dentistry
D-4870-PDIDMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Falls Kids Dental LLC Pediatric Dentistry Past Accepting new patients
Dallin C. Young, D.D.D, P.a. Pediatric Dentistry Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513814400000",
    "number": "1174776025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1186 EASTLAND DR N STE B",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833018973",
            "telephone_number": "208-733-9331",
            "fax_number": "208-732-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1186 EASTLAND DR N STE B",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833018973",
            "telephone_number": "208-733-9331",
            "fax_number": "208-732-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAYNOR",
        "first_name": "WILLIAM",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-23",
        "last_updated": "2017-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D008904",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.022913",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "ID",
            "license": "D-4870-PD",
            "primary": true
        }
    ],
    "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 Dec 21, 2017; 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.