Eagle Rock Dental Care Arco PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D1890 Issued in ID

Legal business name

EAGLE ROCK DENTAL CARE ARCO PLLC

Practice address

520 Highland Dr.
Arco, ID 83213

Phone

(208) 527-3472

NPI assigned

Aug 7, 2012

Last updated

Mar 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Trudee L Chapple

Title

Office Administrator

Phone

(208) 523-5400

Specialties & licenses 6

Addresses

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1457608671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 HIGHLAND DR.",
            "address_2": "PO BOX 5",
            "city": "ARCO",
            "state": "ID",
            "postal_code": "83213",
            "telephone_number": "208-527-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 HIGHLAND DR.",
            "city": "ARCO",
            "state": "ID",
            "postal_code": "83213",
            "telephone_number": "208-527-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE ROCK DENTAL CARE ARCO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "CHAPPLE",
        "authorized_official_first_name": "TRUDEE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "208-523-5400"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D-3271",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D4224",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3063",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D4138",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D1608",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D1890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Babcock, LMT
• Butte County Joint District (Butte County Joint School District)
• Channing Way Dental Dba Lost Rivers Dental
• CW All Services
• Jeffrey C Haskell X, MD
• Jerica Hemsley, MA
• Idaho State University
• Hal J Jardine, M.S.
• Lost River Emt

• General Practice Dentistry in Arco, ID
• Providers in Arco, 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 Mar 14, 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.