Organization Active NPI

Caldwell Orthodontic Associates

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Caldwell, ID
National Provider Identifier
1487789681
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
D-3560 Issued in ID
Legal business name
CALDWELL ORTHODONTIC ASSOCIATES
Practice address
3611 S 10TH Ave
Caldwell, ID 83605-6209
Phone
(208) 459-3666
Fax
(208) 455-5058
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Neal P. Webster, D.D.S.NPI 1578817490
Title
Owner
Phone
(208) 459-3666

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X D-3560 ID Primary

Addresses

Primary practice location

3611 S 10TH Ave
Caldwell, ID 83605-6209

Mailing address

3611 S 10TH Ave
Caldwell, ID 83605-6209
Phone (208) 459-3666

National Provider Directory

National Provider Directory

Locations

3611 S 10th Ave
Caldwell, ID 83605
Phone (208) 459-3666

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487789681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 S 10TH AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836056209",
            "telephone_number": "208-459-3666",
            "fax_number": "208-455-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 S 10TH AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836056209",
            "telephone_number": "208-459-3666",
            "fax_number": "208-455-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL ORTHODONTIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-459-3666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "ID",
            "license": "D-3560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.