Organization Active NPI

Alpine Ear, Nose & Throat, P.C

Doing business as Alpine Ear, Nose & Throat

  • 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
Doing business as
Alpine Ear, Nose & Throat
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
Last updated
Oct 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

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.

Specialties & licenses 1

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

Addresses

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

  • Alpine Ear, Nose & Throat Doing business as

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

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.

NPI Registry JSON

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

{
    "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.