Thomas Lee Jaeger DDS PA

Primary specialty

DentistTaxonomy code 122300000X

License

N-01968 Issued in ID

Legal business name

THOMAS LEE JAEGER DDS PA

Doing business as

Jaeger Orthodontics

Practice address

1717 Lincoln Way
#203
Coeur D Alene, ID 83814-2556

Phone

(208) 667-3341

NPI assigned

Jun 6, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Thomas L Jaeger, DDS

Title

Owner

Phone

(208) 667-3341

Specialties & licenses 1

Addresses

Other names 1

• Jaeger Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1235588781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 LINCOLN WAY",
            "address_2": "#203",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142556",
            "telephone_number": "208-667-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 LINCOLN WAY",
            "address_2": "#203",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142556",
            "telephone_number": "208-667-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS LEE JAEGER DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "JAEGER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-667-3341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ID",
            "license": "N-01968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jaeger Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen T Thew, MD
• Julie Thibault
• Mary Thibodeau, PHARMD
• Thomas Thilo, MD
• Shannon C. Thistle, PA-C
• Thomas R Van Fossen
• Thomas R. Smart, DDS, PA
• Benjamin Collins Thomas, NP
• Burk Aaron Thomas, D.C.
• Cooper Noble Thomas, DPT

• Dentist in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.