NPIMap

Organization Active NPI

New Smile Inc.

  • Denturist
  • Caldwell, ID
National Provider Identifier
1215465471
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
LD-92 Issued in ID
Legal business name
NEW SMILE INC.
Practice address
2124 Blaine St
Caldwell, ID 83605
Phone
(208) 454-0311
NPI assigned
May 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Josh Robert Westerberg, DENTURISTNPI 1174051403
Title
Owner/Denturist
Phone
(208) 454-0311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DenturistGroup: 193400000X SINGLE SPECIALTY GROUP 122400000X LD-92 ID Primary

Addresses

Primary practice location

2124 Blaine St
Caldwell, ID 83605

Mailing address

2124 Blaine St
Caldwell, ID 83605-4426
Phone (208) 454-0311

Other identifiers 1

IdentifierTypeStateIssuer
1174051403MedicaidID

National Provider Directory

National Provider Directory

Locations

2124 Blaine St
Caldwell, ID 83605
Phone (208) 454-0311

Practitioners & affiliated clinicians

Practitioners 3

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": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1215465471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 BLAINE ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054426",
            "telephone_number": "208-454-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 BLAINE ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "83605",
            "telephone_number": "208-454-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SMILE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WESTERBERG",
        "authorized_official_first_name": "JOSH",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/DENTURIST",
        "authorized_official_telephone_number": "208-454-0311",
        "authorized_official_credential": "DENTURIST"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Denturist",
            "state": "ID",
            "license": "LD-92",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174051403",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.