Idaho Orthodontic-Burley

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

IDAHO ORTHODONTIC-BURLEY

Practice address

1408 Pomerelle Ave
Suite E
Burley, ID 83318-2067

Phone

(208) 678-2738

Fax

(208) 378-2731

NPI assigned

Mar 11, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Todd McMinn, DMD

Title

Orthodontist

Phone

(208) 678-2738

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1225379654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 POMERELLE AVE",
            "address_2": "SUITE E",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182067",
            "telephone_number": "208-678-2738",
            "fax_number": "208-378-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 POMERELLE AVE",
            "address_2": "SUITE E",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182067",
            "telephone_number": "208-678-2738",
            "fax_number": "208-378-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO ORTHODONTIC-BURLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "MCMINN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "208-678-2738",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Hurst
• Tyler S Hurst, D.C.
• Chelsey Hutchison
• Idaho Dept of Health & Welfare
• Idaho Dept. of Health & Welfare
• Ehigie Destiny Igbineweka, LPC-COUI
• Ihc Health Services Inc (Cassia Regional Hospital Physicians)
• Ihc Health Services Inc (Cassia Primary Care)
• Ihc Health Services Inc (Intermountain Health Home Health Cassia)
• Ihc Health Services Inc (CRMC Family Medicine)

• Orthodontics and Dentofacial Orthopedics Dentistry in Burley, ID
• Providers in Burley, ID by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.