Active NPI
Todays Dentistry Caldwell West PLLC
- Dental Clinic/Center
- Caldwell, ID
National Provider Identifier
1245974203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- TODAYS DENTISTRY CALDWELL WEST PLLC
- Practice address
- 1916 Ellis Ave
Caldwell, ID 83605-4811 - Phone
- (208) 459-8505
- NPI assigned
- Apr 26, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sean Wasden
- Title
- Operations Manager
- Phone
- (208) 965-9415
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1916 Ellis Ave
Caldwell, ID 83605-4811
Mailing address
624 3Rd St S
Nampa, ID 83651-3840
National Provider Directory
National Provider DirectoryLocations
1916 Ellis Ave
Caldwell, ID 83605
Phone (208) 459-2376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650931200000",
"number": "1245974203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 3RD ST S",
"city": "NAMPA",
"state": "ID",
"postal_code": "836513840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1916 ELLIS AVE",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836054811",
"telephone_number": "208-459-8505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TODAYS DENTISTRY CALDWELL WEST PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-26",
"last_updated": "2022-04-26",
"certification_date": "2022-04-26",
"status": "A",
"authorized_official_last_name": "WASDEN",
"authorized_official_first_name": "SEAN",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "208-965-9415"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Apr 26, 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.