Organization Active NPI

American Falls Dental

Doing business as Falls Dental

  • Dentist
  • American Falls, ID
National Provider Identifier
1376922179
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D4634 Issued in ID
Legal business name
AMERICAN FALLS DENTAL
Doing business as
Falls Dental
Practice address
239 Idaho St
American Falls, ID 83211-1235
Phone
(208) 904-3496
Fax
(208) 904-3514
NPI assigned
May 26, 2015
Last updated
May 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Dr. David Sterzer, DDS
Title
Dentist
Phone
(208) 904-3496

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D3963 ID
Dentist 122300000X D1967 ID
Dentist 122300000X D4634 ID Primary

Addresses

Primary practice location

239 Idaho St
American Falls, ID 83211-1235

Mailing address

239 Idaho St
American Falls, ID 83211-1235
Phone (208) 904-3496

Other identifiers 5

IdentifierTypeStateIssuer
002639200MedicaidID
1760566384OtherIDNPI
807472000MedicaidID
1811396708OtherIDNPI
1467543595OtherIDNPI

Other names 1

  • Falls Dental Doing business as

National Provider Directory

National Provider Directory

Locations

239 Idaho St
American Falls, ID 83211
Phone (208) 226-7500

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1376922179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 IDAHO ST",
            "city": "AMERICAN FALLS",
            "state": "ID",
            "postal_code": "832111235",
            "telephone_number": "208-904-3496",
            "fax_number": "208-904-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 IDAHO ST",
            "city": "AMERICAN FALLS",
            "state": "ID",
            "postal_code": "832111235",
            "telephone_number": "208-904-3496",
            "fax_number": "208-904-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN FALLS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "STERZER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "208-904-3496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D3963",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D1967",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D4634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002639200",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1760566384",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807472000",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1811396708",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1467543595",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Falls Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in American Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.