NPIMap

Organization Active NPI

Rainbow Dental Clinic LLC

  • General Practice Dentistry
  • Kellogg, ID
National Provider Identifier
1356763122
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D1923 Issued in ID
Legal business name
RAINBOW DENTAL CLINIC LLC
Practice address
418 W Cameron Ave
Kellogg, ID 83837-2111
Phone
(208) 784-5801
Fax
(208) 783-6011
NPI assigned
Jan 14, 2014
Last updated
Jan 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Authorized official

Name
Dr. Steven Joseph Rinaldi, DDSNPI 1396810255
Title
General Dentist/ Owner
Phone
(208) 784-5801

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
General Practice Dentistry 1223G0001X D1923 ID Primary

Addresses

Primary practice location

418 W Cameron Ave
Kellogg, ID 83837-2111

Mailing address

418 W Cameron Ave
Kellogg, ID 83837-2111
Phone (208) 784-5801

Other identifiers 1

IdentifierTypeStateIssuer
1396810255OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

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": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1356763122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 W CAMERON AVE",
            "city": "KELLOGG",
            "state": "ID",
            "postal_code": "838372111",
            "telephone_number": "208-784-5801",
            "fax_number": "208-783-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 W CAMERON AVE",
            "city": "KELLOGG",
            "state": "ID",
            "postal_code": "838372111",
            "telephone_number": "208-784-5801",
            "fax_number": "208-783-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW DENTAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "RINALDI",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "GENERAL DENTIST/ OWNER",
        "authorized_official_telephone_number": "208-784-5801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D1923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1396810255",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kellogg, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.