Sleep Right Idaho PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D3742 Issued in ID

Legal business name

SLEEP RIGHT IDAHO PLLC

Practice address

2811 12TH Ave Rd
Nampa, ID 83686-8482

Phone

(208) 466-2458

Fax

(208) 466-2458

NPI assigned

Oct 18, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Roarke Jake Miller, DMDNPI 1508816000

Title

Owner, Managing Member

Phone

(208) 906-6977

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roarke Jake Miller, DMD

  • General Practice Dentistry
  • Meridian, ID
  • NPI 1508816000
  NPD Authorized official

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1437660388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12295 LANDAU WAY",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836868063",
            "telephone_number": "208-906-6977",
            "fax_number": "208-465-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 12TH AVE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836868482",
            "telephone_number": "208-466-2458",
            "fax_number": "208-466-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP RIGHT IDAHO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ROARKE",
        "authorized_official_middle_name": "JAKE",
        "authorized_official_title_or_position": "OWNER, MANAGING MEMBER",
        "authorized_official_telephone_number": "208-906-6977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Rebecca Sinwald
• Yancy Theodore Sipes, D.D.S.
• Cathy Sisneroz
• Kenneth Leif Nathaniel Sjoren, DO
• Jason Bryant Slade, M.D.
• Arianna Slotemaker, LPC
• Small Victories Counseling
• Alan Richard Smith, O.D.
• Angela Smith, LMSW-38273
• Carson Smith

• General Practice Dentistry in Nampa, ID
• Providers in Nampa, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.