Layne K McCord, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D4203OR Issued in ID

Practice address

1943 Madison Ave
Idaho Falls, ID 83404-1203

Phone

(208) 529-8333

Fax

(208) 522-0851

NPI assigned

May 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• McCord Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Idaho Falls, ID
  • NPI 1043644388
  NPD (past) Authorized official

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1306053350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1943 MADISON AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834041203",
            "telephone_number": "208-529-8333",
            "fax_number": "208-522-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1943 MADISON AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834041203",
            "telephone_number": "208-529-8333",
            "fax_number": "208-522-0851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "732 W Quinn Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chubbuck",
            "state": "ID",
            "postal_code": "832021929",
            "country_code": "US",
            "telephone_number": "208-233-5500",
            "fax_number": "208-522-0851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "498 S State St",
            "address_purpose": "LOCATION",
            "city": "Shelley",
            "state": "ID",
            "postal_code": "832741262",
            "country_code": "US",
            "telephone_number": "208-529-8333",
            "fax_number": "208-522-0851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7389 S. Hwy 33",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Victor",
            "state": "ID",
            "postal_code": "834550011",
            "country_code": "US",
            "telephone_number": "208-529-8333",
            "fax_number": "208-522-0851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORD",
        "first_name": "LAYNE",
        "middle_name": "K",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "30219",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "ID",
            "license": "D4203OR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Maureen McCaughan, M.COUN, LPC
• Talan McClure
• Melissa Ann McConnell
• Rhonda Evelyn McConomy, C.M.T
• McCord Orthodontics
• Philip R McCowin, M.D.
• Matt McCoy, D.D.S., M.S.
• McDonald Rehab, PC
• Chelsea Jennifer McDonald, CM
• Jill Keetch McDonald

• Orthodontics and Dentofacial Orthopedics Dentistry in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.