Individual provider Active NPI

Esther B. Machen, DDS

  • General Practice Dentistry
  • Idaho Falls, ID
National Provider Identifier
1194046037
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D4356 Issued in ID
Practice address
3500 Potomac Way
Suite 200
Idaho Falls, ID 83404-4974
Phone
(208) 552-0775
Fax
(208) 522-4077
NPI assigned
Jun 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D4356 ID Primary

Addresses

Primary practice location

3500 Potomac Way
Suite 200
Idaho Falls, ID 83404-4974

Mailing address

3500 Potomac Way
Suite 200
Idaho Falls, ID 83404-4974
Phone (208) 552-0775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160525000843 ID Order and Referring Only - Other (Non-Physician) 6507173267

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D4356IDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Machen Family Dentistry PLLC General Practice CurrentSince Nov 18, 2025 Accepting new patients
Machen Family Dentistry PC General Practice PastSince Jan 1, 2018 Accepting new patients

Locations

3001 Eagle Dr
Ammon, ID 83406
Phone (208) 313-9908

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": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1194046037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 POTOMAC WAY",
            "address_2": "SUITE 200",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044974",
            "telephone_number": "208-552-0775",
            "fax_number": "208-522-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 POTOMAC WAY",
            "address_2": "SUITE 200",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044974",
            "telephone_number": "208-552-0775",
            "fax_number": "208-522-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHEN",
        "first_name": "ESTHER",
        "middle_name": "B.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D4356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.