NPIMap

Organization Active NPI

Coeur D Alene Dental Center

  • General Practice Dentistry
  • Coeur D Alene, ID
National Provider Identifier
1477847176
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COEUR D ALENE DENTAL CENTER
Practice address
1322 W Kathleen Ave
Coeur D Alene, ID 83815-7365
Phone
(208) 667-7461
Fax
(208) 765-5753
NPI assigned
May 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Authorized official

Name
Dr. Geffrey Thompson, DMDNPI 1366453565
Title
Dentist
Phone
(208) 667-7461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X ID Primary

Addresses

Primary practice location

1322 W Kathleen Ave
Coeur D Alene, ID 83815-7365

Mailing address

1322 W Kathleen Ave
Coeur D Alene, ID 83815-7365
Phone (208) 667-7461

National Provider Directory

National Provider Directory

Locations

1322 W Kathleen Ave
Ste 1
Coeur D Alene, ID 83815

Practitioners & affiliated clinicians

Practitioners 3

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": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1477847176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 W KATHLEEN AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838157365",
            "telephone_number": "208-667-7461",
            "fax_number": "208-765-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 W KATHLEEN AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838157365",
            "telephone_number": "208-667-7461",
            "fax_number": "208-765-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COEUR D ALENE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "GEFFREY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "208-667-7461",
        "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": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

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