NPIMap

Organization Active NPI

Aes Post Falls

Doing business as Access Endodontic Specialists

  • Endodontics
  • Post Falls, ID
National Provider Identifier
1225298656
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
D-3925-EN Issued in ID
Legal business name
AES POST FALLS
Doing business as
Access Endodontic Specialists
Practice address
602 N Calgary CT
Suite 301
Post Falls, ID 83854-4000
Phone
(208) 262-2620
Fax
(208) 262-2621
NPI assigned
Jun 10, 2008
Last updated
Jun 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Dr. Timothy L. Gatten, MSDNPI 1255458154
Title
Member
Phone
(208) 262-2620

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
Endodontics 1223E0200X D-3925-EN ID Primary

Addresses

Primary practice location

602 N Calgary CT
Suite 301
Post Falls, ID 83854-4000

Mailing address

602 N Calgary CT
Suite 301
Post Falls, ID 83854-4000
Phone (208) 262-2620

Other names 1

  • Access Endodontic Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

602 N Calgary Ct
Ste 301
Post Falls, ID 83854
Phone (208) 262-2620

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1225298656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 N CALGARY CT",
            "address_2": "SUITE 301",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838544000",
            "telephone_number": "208-262-2620",
            "fax_number": "208-262-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N CALGARY CT",
            "address_2": "SUITE 301",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838544000",
            "telephone_number": "208-262-2620",
            "fax_number": "208-262-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AES POST FALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "GATTEN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "208-262-2620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MSD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "ID",
            "license": "D-3925-EN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Access Endodontic Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Post Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.