NPIMap

Organization Active NPI

Dille Dental, PLLC

  • Dentist
  • Weiser, ID
National Provider Identifier
1508204983
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D4240 Issued in ID
Legal business name
DILLE DENTAL, PLLC
Practice address
513 E Main St
Weiser, ID 83672-2225
Phone
(208) 549-1732
NPI assigned
Jun 7, 2013
Organization subpart
Yes
Parent organization
DILLE DENTAL, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Authorized official

Name
Bryan J Dille, DDS
Title
Owner/Dentist
Phone
(208) 549-1732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D4240 ID Primary

Addresses

Primary practice location

513 E Main St
Weiser, ID 83672-2225

Mailing address

513 E Main Street
Weiser, ID 83672
Phone (208) 549-1732

National Provider Directory

National Provider Directory
Tax ID family
Dille Dental PLLC2 organizations share this tax ID, including this one
Part of
Dille Dental PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1508204983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 E MAIN STREET",
            "city": "WEISER",
            "state": "ID",
            "postal_code": "83672",
            "telephone_number": "208-549-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 E MAIN ST",
            "city": "WEISER",
            "state": "ID",
            "postal_code": "836722225",
            "telephone_number": "208-549-1732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DILLE DENTAL, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DILLE DENTAL, PLLC",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "DILLE",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "208-549-1732",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "ID",
            "license": "D4240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weiser, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.