Bird Family Dental Idaho Falls, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BIRD FAMILY DENTAL IDAHO FALLS, PLLC

Practice address

2960 Cortez Ave
Idaho Falls, ID 83404-7554

Phone

(208) 680-5144

Fax

(208) 680-5144

NPI assigned

Oct 30, 2017

Organization subpart

No

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

Authorized official

Name

Jayson Anders Bird, DDSNPI 1629416151

Title

Owner/President

Phone

(208) 680-5144

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jayson Anders Bird, DDS

  • Dentist
  • Pinehurst, ID
  • NPI 1629416151
  Authorized official Same address or phone

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1508378647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1392 N 800 E",
            "city": "SHELLEY",
            "state": "ID",
            "postal_code": "832745013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 CORTEZ AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047554",
            "telephone_number": "208-680-5144",
            "fax_number": "208-680-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRD FAMILY DENTAL IDAHO FALLS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "JAYSON",
        "authorized_official_middle_name": "ANDERS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "208-680-5144",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Bingham
• Val Heber Bingham, D.D.S., M.S.
• Jared Edgar Birch, O.D.
• Sandra Birch, RD, LD
• Todd F Birch, O.D.
• Denise Loraine Bird, NP
• Kara Bird, PHARM D
• Rebekah J Bird, PA
• Taylor Bird, PA-C
• Hilary Birdwell, LCSW

• Dental Clinic/Center in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Dental Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.