Organization Active NPI

West Valley Endodontics

  • Endodontics
  • Nampa, ID
National Provider Identifier
1366193468
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
WEST VALLEY ENDODONTICS
Practice address
1217 N Jacob Alcott Way
Nampa, ID 83687-5198
Phone
(208) 936-4674
Fax
(208) 936-4732
NPI assigned
Jan 11, 2022
Last updated
Jan 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Authorized official

Name
Michelle Hymas
Title
Administrator
Phone
(208) 841-7810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X Primary

Addresses

Primary practice location

1217 N Jacob Alcott Way
Nampa, ID 83687-5198

Mailing address

1217 N Jacob Alcott Way
Nampa, ID 83687-5198
Phone (208) 936-4674

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@nampaendo.com

National Provider Directory

National Provider Directory
Tax ID family
West Valley Endodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1217 N Jacob Alcott Way
Nampa, ID 83687
Phone (208) 936-4674

Interoperability endpoints

  • Direct secure messaging: office@nampaendo.com

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": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1366193468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 N JACOB ALCOTT WAY",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836875198",
            "telephone_number": "208-936-4674",
            "fax_number": "208-936-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 N JACOB ALCOTT WAY",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836875198",
            "telephone_number": "208-936-4674",
            "fax_number": "208-936-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VALLEY ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "HYMAS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-841-7810"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@nampaendo.com",
            "affiliation": "N",
            "address_1": "1217 N Jacob Alcott Way",
            "city": "Nampa",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836875198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.