Children's Dentistry of Pocatello

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D3679PD Issued in ID

Legal business name

CHILDREN'S DENTISTRY OF POCATELLO

Practice address

425 E Alameda Rd
Pocatello, ID 83201-3609

Phone

(208) 238-1165

Fax

(208) 238-1241

NPI assigned

Aug 14, 2014

Last updated

Aug 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ross Hugues, DDS

Title

Owner

Phone

(208) 238-1165

Specialties & licenses 1

Addresses

Tax ID family

Children's Dentistry of Pocatello2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Children's Dentistry of Pocatello

  • Pediatric Dentistry
  • Pocatello, ID
  • NPI 1588823264
  NPD tax ID

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.

• Tate Harrington, DMD

  • Dentist
  • Pocatello, ID
  • NPI 1184249658
  NPD (past)

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1255730370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E ALAMEDA RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013609",
            "telephone_number": "208-238-1165",
            "fax_number": "208-238-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E ALAMEDA RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013609",
            "telephone_number": "208-238-1165",
            "fax_number": "208-238-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTISTRY OF POCATELLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "HUGUES",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-238-1165",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "ID",
            "license": "D3679PD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Checkpoint Health Texas PLLC
• Ann M Cheirrett, CM
• Gloria Cheng, PA
• Cherry Springs Counseling PLLC
• Chief Tahgee Elementary Academy, Inc.
• Children's Dentistry of Pocatello
• Frederick Cho
• Nicole L Chopski, PHARMD, CGP, ANP
• Chris Hansen DMD PA (Comfort Care Dental of Pocatello)
• Christensen Foot & Ankle Clinic

• Pediatric Dentistry in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Pediatric Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.