JS Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

D4145 Issued in ID

Legal business name

JS DENTAL PC

Practice address

110 E Ustick Rd
Meridian, ID 83646-5502

Phone

(208) 495-3146

Fax

(208) 888-6115

NPI assigned

Mar 17, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Scott, DMD

Title

President

Phone

(702) 306-1494

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jack D Klure, DDS

  • Dentist
  • Meridian, ID
  • NPI 1740280353
  NPD (past)

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1326409384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E USTICK RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465502",
            "telephone_number": "208-495-3146",
            "fax_number": "208-888-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E USTICK RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465502",
            "telephone_number": "208-495-3146",
            "fax_number": "208-888-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JS DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-306-1494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ID",
            "license": "D4145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kristen Sierra Juker, PA-C MSPAS
• Julie Myers, LCPC, LLC
• Juneric, Inc.
• Austin Jung

• Dentist in Meridian, ID
• Providers in Meridian, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.