Apple Tree Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

APPLE TREE DENTAL

Practice address

33 Winn Dr
Suite 2
Rexburg, ID 83440-5277

Phone

(208) 522-7036

NPI assigned

Apr 21, 2017

Organization subpart

No

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

Authorized official

Name

Michael Larsen, DDS

Title

Owner

Phone

(208) 219-7585

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1477088086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 WINN DR",
            "address_2": "SUITE 2",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834405277",
            "telephone_number": "208-522-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 WINN DR",
            "address_2": "SUITE 2",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834405277",
            "telephone_number": "208-522-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE TREE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-219-7585",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Andreasen, MPT
• Shawn Andreasen
• Andrew Summers DDS, Ms, PC
• Amanda Andrews, MOTR/L
• Brock Steven Andrews, EMT
• Brett Appleby, NMD
• Kent M. Archibald, O.D.
• Andrew James Armstrong, OTR
• Whitney Arnold, LPC
• Kimball Sckye Arritt

• All providers in Rexburg, ID
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.