NPIMap

Organization Active NPI

Aspen Creek Dental PLLC

  • General Practice Dentistry
  • Nampa, ID
National Provider Identifier
1285884056
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D4010 Issued in ID
Legal business name
ASPEN CREEK DENTAL PLLC
Practice address
6144 Birch LN
Nampa, ID 83687-4148
Phone
(208) 936-7111
Fax
(208) 461-4013
NPI assigned
Sep 29, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Gail Brent Adams, D.M.D.
Title
Owner
Phone
(208) 936-7111

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

6144 Birch Ln
Nampa, ID 83687
Phone (208) 936-7111

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D4010 ID Primary

Addresses

NPPES NPI Registry

Primary practice location

6144 Birch LN
Nampa, ID 83687-4148

Mailing address

6144 Birch LN
Nampa, ID 83687-4148
Phone (208) 936-7111

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 29, 2008.

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1285884056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6144 BIRCH LN",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836874148",
            "telephone_number": "208-936-7111",
            "fax_number": "208-461-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6144 BIRCH LN",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836874148",
            "telephone_number": "208-936-7111",
            "fax_number": "208-461-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN CREEK DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-936-7111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D4010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.