Organization Active NPI

Alpine Ear, Nose & Throat, P.C

  • Otolaryngology/Facial Plastic Surgery Physician
  • Idaho Falls, ID
National Provider Identifier
1306944772
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
Legal business name
ALPINE EAR, NOSE & THROAT, P.C
Practice address
2065 E 17TH St
Suite B
Idaho Falls, ID 83404-8042
Phone
(208) 524-7244
Fax
(208) 524-1088
NPI assigned
Sep 20, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Mark Lee Capener, M.D.NPI 1750489100
Title
Physician
Phone
(208) 524-7244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

2065 E 17th St
Ste B
Idaho Falls, ID 83404
Phone (208) 520-6053

2065 E 17th St
Ste B2
Idaho Falls, ID 83404
Phone (208) 524-1244

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0905X Primary

Addresses

NPPES NPI Registry

Primary practice location

2065 E 17TH St
Suite B
Idaho Falls, ID 83404-8042

Mailing address

2065 E 17TH St
Suite B
Idaho Falls, ID 83404-8042
Phone (208) 524-7244

Other names 1

NPPES NPI Registry
  • Alpine Ear, Nose & Throat Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 11, 2007.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1306944772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 E 17TH ST",
            "address_2": "SUITE B",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048042",
            "telephone_number": "208-524-7244",
            "fax_number": "208-524-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 E 17TH ST",
            "address_2": "SUITE B",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048042",
            "telephone_number": "208-524-7244",
            "fax_number": "208-524-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE EAR, NOSE & THROAT, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "CAPENER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "208-524-7244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpine Ear, Nose & Throat",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 11, 2007; 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.