NPIMap

Organization Active NPI

Doctors Garrard and Wayment Dentists PLLC

  • General Practice Dentistry
  • Rupert, ID
National Provider Identifier
1497974141
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D3400 Issued in ID
Legal business name
DOCTORS GARRARD AND WAYMENT DENTISTS PLLC
Practice address
301 Scott Ave
Ste #3
Rupert, ID 83350-1800
Phone
(208) 436-6406
Fax
(208) 436-9678
NPI assigned
Apr 24, 2007
Last updated
Mar 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Authorized official

Name
Dr. John R Garrard, D.D.S.NPI 1124056544
Title
Partner
Phone
(208) 436-6406

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X D3400 ID Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X D3965 ID

Addresses

Primary practice location

301 Scott Ave
Ste #3
Rupert, ID 83350-1800

Mailing address

PO Box 338
Rupert, ID 83350-0338
Phone (208) 436-6406

National Provider Directory

National Provider Directory

Locations

301 Scott Ave
Ste 3
Rupert, ID 83350
Phone (208) 436-6406

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1497974141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833500338",
            "telephone_number": "208-436-6406",
            "fax_number": "208-436-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SCOTT AVE",
            "address_2": "STE #3",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833501800",
            "telephone_number": "208-436-6406",
            "fax_number": "208-436-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS GARRARD AND WAYMENT DENTISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "GARRARD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "208-436-6406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3400",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3965",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rupert, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.