Organization Active NPI

College of Southern Idaho

  • Dental Clinic/Center
  • Twin Falls, ID
National Provider Identifier
1477839744
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
COLLEGE OF SOUTHERN IDAHO
Practice address
315 Falls Ave
Twin Falls, ID 83301-3367
Phone
(208) 732-6751
Fax
(208) 736-4743
NPI assigned
Oct 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Authorized official

Name
Dr. Mark Sugden
Title
Dean of HSHS Building
Phone
(208) 732-6849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

315 Falls Ave
Twin Falls, ID 83301-3367

Mailing address

315 Falls Ave
Twin Falls, ID 83301-3367
Phone (208) 732-6221

National Provider Directory

National Provider Directory

Locations

315 Falls Ave
Twin Falls, ID 83301
Phone (208) 732-6676

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1477839744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 FALLS AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013367",
            "telephone_number": "208-732-6221",
            "fax_number": "208-736-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 FALLS AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013367",
            "telephone_number": "208-732-6751",
            "fax_number": "208-736-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE OF SOUTHERN IDAHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "SUGDEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DEAN OF HSHS BUILDING",
        "authorized_official_telephone_number": "208-732-6849",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.