Active NPI
Vernon O. Gaffner, D.M.D., P.a.
- Dentist
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D1305
- Legal business name
- VERNON O. GAFFNER, D.M.D., P.A.
- Practice address
- 333 S Woodruff Ave
Idaho Falls, ID 83401-4322 - Phone
- (208) 524-2034
- NPI assigned
- Jun 10, 2008
- Last updated
- Jun 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vernon O Gaffner, D.M.D.
- Title
- Dentist
- Phone
- (208) 524-2034
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D1305 | ID | Primary |
Addresses
Primary practice location
333 S Woodruff Ave
Idaho Falls, ID 83401-4322
Mailing address
333 S Woodruff Ave
Idaho Falls, ID 83401-4322
Phone (208) 524-2034
National Provider Directory
National Provider DirectoryLocations
333 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 522-2591
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.
-
- General Practice Dentistry
- Idaho Falls, ID
- NPI 1376627802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213056000000",
"number": "1295995652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 S WOODRUFF AVE",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834014322",
"telephone_number": "208-524-2034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 S WOODRUFF AVE",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834014322",
"telephone_number": "208-524-2034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VERNON O. GAFFNER, D.M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-10",
"last_updated": "2008-06-10",
"status": "A",
"authorized_official_last_name": "GAFFNER",
"authorized_official_first_name": "VERNON",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "208-524-2034",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "ID",
"license": "D1305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.