NPIMap

Organization Active NPI

North Idaho Family Dentistry

  • Dental Clinic/Center
  • Bonners Ferry, ID
National Provider Identifier
1295295152
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NORTH IDAHO FAMILY DENTISTRY
Practice address
6503 Harrison St
Bonners Ferry, ID 83805-8619
Phone
(208) 267-0203
Fax
(208) 943-3161
NPI assigned
Mar 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Authorized official

Name
Taylor Geyman, DDSNPI 1093245177
Title
General Dentist/Owner
Phone
(208) 267-0203

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

6503 Harrison St
Bonners Ferry, ID 83805-8619

Mailing address

6503 Harrison St
Bonners Ferry, ID 83805-8619
Phone (208) 267-0203

National Provider Directory

National Provider Directory

Locations

6503 Harrison St
Bonners Ferry, ID 83805
Phone (208) 267-0203

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1295295152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6503 HARRISON ST",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838058619",
            "telephone_number": "208-267-0203",
            "fax_number": "208-943-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6503 HARRISON ST",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838058619",
            "telephone_number": "208-267-0203",
            "fax_number": "208-943-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH IDAHO FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "GEYMAN",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "GENERAL DENTIST/OWNER",
        "authorized_official_telephone_number": "208-267-0203",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonners Ferry, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.