NPIMap

Organization Active NPI

Twin Falls Kids Dental LLC

  • Pediatric Dentistry
  • Twin Falls, ID
National Provider Identifier
1215426689
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
TWIN FALLS KIDS DENTAL LLC
Practice address
1186 Eastland Dr N Ste B
Twin Falls, ID 83301-8973
Phone
(208) 733-9331
NPI assigned
May 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Authorized official

Name
Leann Sporin
Title
Office Manager
Phone
(208) 724-3647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

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

Mailing address

1411 Falls Ave E Ste 1000C
Twin Falls, ID 83301-3459
Phone (208) 734-7415

Other names 1

  • Childrens Dentistry of Twin Falls Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1215426689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 FALLS AVE E STE 1000C",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013459",
            "telephone_number": "208-734-7415"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN FALLS KIDS DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2023-04-11",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "SPORIN",
        "authorized_official_first_name": "LEANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-724-3647"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childrens Dentistry of Twin Falls",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Childrens Dentistry of Twin Falls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 11, 2023; 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.