Organization Active NPI

Element Dental PLLC

  • General Practice Dentistry
  • Coeur d'Alene, ID
National Provider Identifier
1275802068
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D-4015 Issued in ID
Legal business name
ELEMENT DENTAL PLLC
Practice address
700 W Ironwood Dr Ste 320
Coeur D Alene, ID 83814-4485
Phone
(208) 664-2160
NPI assigned
Dec 22, 2011
Last updated
Dec 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Authorized official

Name
Dr. Rachel FehlingNPI 1063650240
Title
Managing Dentist
Phone
(208) 664-2160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D-4015 ID Primary

Addresses

Primary practice location

700 W Ironwood Dr Ste 320
Coeur D Alene, ID 83814-4485

Mailing address

700 W Ironwood Dr Ste 320
Coeur D Alene, ID 83814-4485

National Provider Directory

National Provider Directory

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": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1275802068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W IRONWOOD DR STE 320",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W IRONWOOD DR STE 320",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144485",
            "telephone_number": "208-664-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENT DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "FEHLING",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "MANAGING DENTIST",
        "authorized_official_telephone_number": "208-664-2160",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-4015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.