NPIMap

Organization Active NPI

Cole Dental

  • Dentist
  • Boise, ID
National Provider Identifier
1386057040
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D4546 Issued in ID
Legal business name
COLE DENTAL
Practice address
1166 N Cole Rd Ste a
Boise, ID 83704-8658
Phone
(208) 377-8383
Fax
(208) 377-1833
NPI assigned
Jun 10, 2014
Last updated
Jun 10, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
STEPHANIE J MOWER DMD PLLC DBA COLE DENTALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
Stephanie J Mower, DMDNPI 1538507348
Title
Owner/Dentist
Phone
(208) 377-8383

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
Dentist 122300000X D4546 ID Primary

Addresses

Primary practice location

1166 N Cole Rd Ste a
Boise, ID 83704-8658

Mailing address

1166 N Cole Rd Ste a
Boise, ID 83704-8658
Phone (208) 377-8383

National Provider Directory

National Provider Directory
Part of
Cole Dental

Practitioners & affiliated clinicians

Practitioners 3

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": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1386057040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 N COLE RD STE A",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048658",
            "telephone_number": "208-377-8383",
            "fax_number": "208-377-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 N COLE RD STE A",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048658",
            "telephone_number": "208-377-8383",
            "fax_number": "208-377-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLE DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEPHANIE J MOWER DMD PLLC DBA COLE DENTAL",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "MOWER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "208-377-8383",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D4546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.