Cascade Family Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CASCADE FAMILY DENTAL

Practice address

839 S Main St
Cascade, ID 83611

Phone

(208) 382-8200

NPI assigned

Jun 4, 2019

Organization subpart

No

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

Authorized official

Name

Richard Dee Stoker, DMDNPI 1376718460

Title

President

Phone

(208) 589-9107

Specialties & licenses 1

Addresses

Other names 1

• Cascade Dental Doing business as

Practitioners 1

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

• Richard D Stoker, D.M.D.

  • Dentist
  • Idaho Falls, ID
  • NPI 1376718460
  NPD Authorized official

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559606400000",
    "number": "1184282170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 N 4232 E",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425067",
            "telephone_number": "208-589-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 S MAIN ST",
            "city": "CASCADE",
            "state": "ID",
            "postal_code": "83611",
            "telephone_number": "208-382-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A",
        "authorized_official_last_name": "STOKER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-589-9107",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bret A Bastian, DPT
• James U Blacksher III, PAC
• Katie Camarata, DO
• Care Counseling Clinic, LLC
• Cascade Dental, PC
• Cascade Medical Center
• Cascade Medical Center Hospital District
• Cascade Medical Center Hospital District
• Cascade Medical Center Hospital District
• Cascade Rural Fire Protection District

• Dentist in Cascade, ID
• Providers in Cascade, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.