Individual provider Active NPI

Daron J. Lind, D.D.S.

  • General Practice Dentistry
  • Meridian, ID
National Provider Identifier
1225288202
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D-4189 Issued in ID
Practice address
2320 E Gala St
Ste 200
Meridian, ID 83642-7091
Phone
(208) 846-8847
Fax
(208) 288-2786
NPI assigned
Sep 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 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 D-4189 ID Primary

Addresses

Primary practice location

2320 E Gala St
Ste 200
Meridian, ID 83642-7091

Mailing address

2320 E Gala St
Ste 200
Meridian, ID 83642-7091
Phone (208) 846-8847

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: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160225002275 ID Order and Referring Only - DentistPractitioner - Dentist 3971808163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D-4189IDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Daron Lind DDS PLLC PastSince Oct 6, 2014 Accepting new patients

Organizations & group practices 1

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": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1225288202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 E GALA ST",
            "address_2": "STE 200",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427091",
            "telephone_number": "208-846-8847",
            "fax_number": "208-288-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 E GALA ST",
            "address_2": "STE 200",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427091",
            "telephone_number": "208-846-8847",
            "fax_number": "208-288-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIND",
        "first_name": "DARON",
        "middle_name": "J.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-25",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-4189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.