Organization Active NPI

Brumbach Family Dentistry PLLC

  • General Practice Dentistry
  • Post Falls, ID
National Provider Identifier
1255502977
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D3629 Issued in ID
Legal business name
BRUMBACH FAMILY DENTISTRY PLLC
Practice address
609 N Calgary CT Ste 104
Post Falls, ID 83854-8165
Phone
(208) 777-1222
Fax
(208) 777-4555
NPI assigned
Mar 20, 2008
Last updated
Mar 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Dr. Zachary Harris Brumbach, D.D.S.NPI 1649237686
Title
Dentist/Owner
Phone
(208) 777-1222

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
General Practice Dentistry 1223G0001X D3629 ID Primary

Addresses

Primary practice location

609 N Calgary CT Ste 104
Post Falls, ID 83854-8165

Mailing address

609 N Calgary CT Ste 104
Post Falls, ID 83854-8165
Phone (208) 777-1222

National Provider Directory

National Provider Directory

Locations

609 N Calgary Ct
Ste 104
Post Falls, ID 83854
Phone (208) 777-1222

Practitioners & affiliated clinicians

Practitioners 1

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": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1255502977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 N CALGARY CT STE 104",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838548165",
            "telephone_number": "208-777-1222",
            "fax_number": "208-777-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 N CALGARY CT STE 104",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838548165",
            "telephone_number": "208-777-1222",
            "fax_number": "208-777-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUMBACH FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "BRUMBACH",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "208-777-1222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 20, 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.