Thomas L Jaeger, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

66D1852 Issued in ID

Practice address

1717 Lincoln Way Ste 203
Coeur D Alene, ID 83814-2556

Phone

(208) 667-3341

Fax

(208) 664-8973

NPI assigned

Jan 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Erik R Curtis Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thomas Lee Jaeger DDS PA

  dba Jaeger Orthodontics

  • Dentist
  • Coeur d'Alene, ID
  • NPI 1235588781
  Authorized official Same address or phone

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457403271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 LINCOLN WAY STE 203",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142556",
            "telephone_number": "208-667-3341",
            "fax_number": "208-664-8973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 LINCOLN WAY STE 203",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142556",
            "telephone_number": "208-667-3341",
            "fax_number": "208-664-8973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAEGER",
        "first_name": "THOMAS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "ID",
            "license": "66D1852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIK",
            "last_name": "CURTIS",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "DDS, MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marileen Ann Jacobs
• Melissa A Jacobson, DC
• Jaeger Curtis Orthodontics
• Ellen Louise Jaeger, PHD LP
• Mary Alice Elizabeth Jaeger, MD
• Shannon Marie Jahns, CSFA
• James J Lee DDS PC
• James P Osmanski II DO
• Cynthia Ann James, COTA
• Katie Dawn Jarstad, PA-C

• Orthodontics and Dentofacial Orthopedics Dentistry in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.