Jonathan Nash, DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D3242 Issued in ID

Legal business name

JONATHAN NASH, DDS PC

Practice address

2517 17TH St
Suite a
Lewiston, ID 83501-6311

Phone

(208) 746-1373

Fax

(208) 746-9855

NPI assigned

Mar 6, 2008

Organization subpart

Yes

Parent organization

DENTISTRY BY DESIGNAs reported in NPPES

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

Authorized official

Name

Dr. Jonathan B Nash, DDSNPI 1992813182

Title

Owner

Phone

(208) 746-1373

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Dentistry By Design Doing business as

Part of

Jonathan Nash DDS PC

Locations

Practitioners 1

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

• Jonathan Becket Nash, DDS

  • Dentist
  • Lewiston, ID
  • NPI 1992813182
  NPD Authorized official

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1205006103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 17TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835016311",
            "telephone_number": "208-746-1373",
            "fax_number": "208-746-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 17TH ST",
            "address_2": "SUITE A",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835016311",
            "telephone_number": "208-746-1373",
            "fax_number": "208-746-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN NASH, DDS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTISTRY BY DESIGN",
        "enumeration_date": "2008-03-06",
        "last_updated": "2024-07-29",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-746-1373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADA",
            "identifier": "149960173",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "6A242",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805043900",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "000010011285",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI # INDIVIDUAL",
            "identifier": "1992813182",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO SMILES - DORAL",
            "identifier": "9201666",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry By Design",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dentistry By Design",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy C Johnson, RN
• Amy Dawnette Johnson, RN
• John Joseph Johnson, DDS
• Katherine Nicole Johnson, LMSW
• R James Johnson, D.C.
• Mark Jones, LCSW
• Monika Jones
• Sallee E Jones, PH.D., D.O.
• Shannon Marie Jones, LPC
• David Alan Josephson, M.S., ACADC

• General Practice Dentistry in Lewiston, ID
• Providers in Lewiston, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.