Organization Active NPI

Alexander Dental Grouop CHTD.

  • General Practice Dentistry
  • Twin Falls, ID
National Provider Identifier
1356514772
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ALEXANDER DENTAL GROUOP CHTD.
Practice address
506 Hansen St E
Twin Falls, ID 83301-6254
Phone
(208) 733-7566
Fax
(208) 734-4267
NPI assigned
Apr 7, 2008
Last updated
Apr 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Authorized official

Name
Jeanette Sharp
Title
Office Manager
Phone
(208) 733-7566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

506 Hansen St E
Twin Falls, ID 83301-6254

Mailing address

506 Hansen St E
Twin Falls, ID 83301-6254
Phone (208) 733-7566

Other identifiers 1

IdentifierTypeStateIssuer
181859OtherIDIDAHO SMILES

National Provider Directory

National Provider Directory

Locations

506 Hansen St E
Twin Falls, ID 83301
Phone (208) 733-7566

Practitioners & affiliated clinicians

Practitioners 2

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": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1356514772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 HANSEN ST E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016254",
            "telephone_number": "208-733-7566",
            "fax_number": "208-734-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 HANSEN ST E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016254",
            "telephone_number": "208-733-7566",
            "fax_number": "208-734-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER DENTAL GROUOP CHTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-733-7566"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO SMILES",
            "identifier": "181859",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.

Verify at the official NPI Registry.